Henderson, Shauntelle

Henderson, Shauntelle is an sole proprietor health care provider with primary practice located at 312 W 52Nd Pl , Chicago IL 60609-6229. She recently has 3 registered licenses in different health care specialties including Agencies / Nursing Care, Managed Care Organizations / Point of Service, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Henderson, Shauntelle can be contacted via phone (773) 956-4603.

Contact Information

Primary practice address
312 W 52Nd Pl Chicago IL 60609-6229
Phone: (773) 956-4603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X 043.089473 Illinois
Managed Care Organizations / Point of Service 305S00000X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043.089473 Illinois

Profile Details

NPI number 1760055008
LBN Legal business name Henderson, Shauntelle
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2021
Last updated Jan 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760055008 NPPES
Illinois Other 1215698527 AMOUR -PROPRE AESTHETE COLLECTIVE

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