Individual
MR. JOHN C HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1010 W CLAY STREET, DANVILLE, IL 61832-4368
(217) 431-7200
(217) 431-8000
Mailing address
1010 W CLAY STREET, DANVILLE, IL 61832-4368
(217) 431-7200
(217) 431-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209014897
LIC NUMBER
IL
Enumeration date
11/09/2016
Last updated
11/09/2016
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