Individual
GINNY L HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2850 W 95TH ST, SUITE 101, EVERGREEN PARK, IL 60805-2735
(708) 425-9550
(708) 229-6084
Mailing address
2850 W 95TH ST, SUITE 101, EVERGREEN PARK, IL 60805-2735
(708) 425-9550
(708) 229-6084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.129996
IL
207Q00000X
Family Medicine Physician
11015167A
IN
Other
Enumeration date
07/07/2009
Last updated
06/23/2014
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