Chardonnay Henry
Chardonnay Henry is a Prosthetist in River Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2019.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
7627 Lake St Ste 206 Pmb 1005River Forest, IL 60305-1878
Phone: (708) 316-9951
Fax: (708) 367-6934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence KAESVF8SO6 (IL) |
|---|
Record details
| NPI number | 1275192494 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 11, 2019 |
| Last updated in NPPES | June 15, 2024 |
| Certification date | June 15, 2024 |
| Mailing address | 7627 Lake Street, Suite 206 Pmb 1005, River Forest, IL 60305-1878 |