Search › Illinois › 1041C0700X

Stacey Henken

NPI 1891140869 · on the registry since 2016

Practice

Address
999 Civic Center Drive
Third Floor
Niles, IL 60714
Phone
(847) 588-8460
Clinicians at this address
18

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-27

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