Henry, Chardonnay

Henry, Chardonnay is an individual health care provider with primary practice located at 7627 Lake Street Suite 206 Pmb 1005, River Forest IL 60305-1878. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as her primary health care specialty. Henry, Chardonnay can be contacted via phone (708) 316-9951.

Contact Information

Primary practice address
7627 Lake Street Suite 206 Pmb 1005 River Forest IL 60305-1878
Phone: (708) 316-9951
Fax: (708) 367-6934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X KAESVF8SO6 Illinois

Profile Details

NPI number 1275192494
LBN Legal business name Henry, Chardonnay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Jun 15th, 2024 - about 6 months 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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