Individual provider · Type 1 NPI

Angela M. Henderson, PhD

Psychiatric/Mental Health Nurse Practitioner · Chicago, IL

NPI number 1235886342 Active

Practice location

1987 W 111th St
Chicago, IL 60643-4247

Call (773) 238-1100 Map

Fax (773) 238-4095

Mailing address

10755 S Seeley Ave
Chicago, IL 60643-3314

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X041245406 (IL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209.025817 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1235886342

Angela M. Henderson, PhD's National Provider Identifier is 1235886342, issued on Mar 8, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Aug 29, 2022.