SearchIllinois103TC0700X

Elena Henderson, PHD

NPI 1700570413 · on the registry since 2023 · sole proprietor

Practice

Address
912 S Wood St # 838
Chicago, IL 60612
Phone
(312) 413-1567

Additional practice sites

  • 230 W 1300 S Unit 10, Salt Lake City, UT

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC0700X
Licence states on file
UT, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-30

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