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Individual

CHARLENE HENDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8312 S INGLESIDE AVE APT 1B, CHICAGO, IL 60619-5925
(312) 480-5720
Mailing address
8312 S INGLESIDE AVE APT 1B, CHICAGO, IL 60619-5925

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IL

Other

Enumeration date
05/02/2026
Last updated
05/02/2026
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