Individual
GERMAINE M HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 E 47TH ST, CHICAGO, IL 60653-4507
(312) 663-9776
Mailing address
21200 S LA GRANGE RD STE 189, FRANKFORT, IL 60423-2003
(312) 632-9776
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014447
IL
Other
Enumeration date
07/17/2016
Last updated
08/16/2021
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