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Jerry Henley, LATC
NPI 1205476645 · on the registry since 2020 · sole proprietor
Practice
- Address
- 322 N Leavitt St Unit B
Chicago, IL 60612 - Phone
- (312) 307-1813
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois