NPI 1043501117

Patrice L Henderson, MS

Practitioner Rehabilitation Counselor Chicago, IL

Practice location

Address: 33 E 114th St, Chicago, IL 60628-4921
Phone: (773) 660-4630
Fax: (773) 660-4650

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 00105739 (IL)

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Registry record

NPI: 1043501117
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2011
Record last updated: 2 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.