Individual
MS. LENORE T HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22W549 2ND PL, GLEN ELLYN, IL 60137-3509
(630) 936-9663
Mailing address
551 ROOSEVELT RD, #122, GLEN ELLYN, IL 60137-5734
(630) 936-9663
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
62891912
IL
Other
Enumeration date
10/18/2009
Last updated
10/18/2009
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