Individual
MR. EVERETT CRAIG HENDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1600 DODGE AVE, EVANSTON, IL 60201-3449
(847) 424-7373
Mailing address
1600 DODGE AVE, EVANSTON, IL 60201-3449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004586
IL
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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