Individual
AUTUMN LYNN HENZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
(773) 275-2586
Mailing address
3226 W POTOMAC AVE APT 1R, CHICAGO, IL 60651-3074
(920) 285-1746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.434400
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.022769
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277.004953
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
377.004483
IL
Other
Enumeration date
01/28/2021
Last updated
05/07/2026
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