Individual
DR. PHILLIP J HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5412 S DREXEL AVE APT 2, CHICAGO, IL 60615-4973
(773) 633-5773
Mailing address
5412 S DREXEL AVE APT 2, CHICAGO, IL 60615-4973
(773) 633-5773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
102L00000X
Psychoanalyst
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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