Search › Illinois › 207RI0011X
Shady Henien, M.D
NPI 1760820930 · on the registry since 2013
Practice
- Address
- 800 E Carpenter St # 62
Springfield, IL 62769 - Phone
- (217) 492-9115
- Fax
- (217) 522-1206
Additional practice sites
- 593 Eddy St, Providence, RI
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207RC0000X
- Licence states on file
- RI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-26
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