Individual
HEATHER HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN IBCLC
Contact information
Practice address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(217) 508-9082
Mailing address
839 SHERWOOD PL, CHARLESTON, IL 61920-1724
(217) 508-9082
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-317510
IL
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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