Individual
VICKIE S HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12218 SCENIC RDG, HUNTLEY, IL 60142-7460
(847) 612-5850
Mailing address
12218 SCENIC RDG, HUNTLEY, IL 60142-7460
(847) 612-5850
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.153805
IL
163W00000X
Registered Nurse
041153805
IL
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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