Search › Illinois › 164W00000X
Shauntelle Henderson, LPN
NPI 1760055008 · on the registry since 2021 · sole proprietor
Practice
- Address
- 312 W 52nd Pl
Chicago, IL 60609 - Phone
- (773) 956-4603
- Organisation at this address
- Amour-Propre Esthete Collective
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 251J00000X
305S00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-09
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