Henry, Glorinda Conley

Henry, Glorinda Conley is an sole proprietor health care provider with primary practice located at 4131 W. 192Nd Pl. , Country Club Hills IL 60478. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Henry, Glorinda Conley can be contacted via phone (708) 957-1391.

Contact Information

Primary practice address
4131 W. 192Nd Pl. Country Club Hills IL 60478
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 2013779 Illinois

Profile Details

NPI number 1265841746
LBN Legal business name Henry, Glorinda Conley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2014
Last updated Aug 8th, 2014 - about 11 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 1265841746 NPPES
Illinois Other 358264862B6 MEDICARE HEALTH INSURANCE

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