Individual
MRS. KATHLEEN ANN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CNP
Contact information
Practice address
16513 106TH CT, ORLAND PARK, IL 60467-4545
(708) 364-8100
(708) 364-1774
Mailing address
16513 106TH CT, ORLAND PARK, IL 60467-4545
(708) 364-8100
(708) 364-1774
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007816
IL
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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