Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Henley Jr., LATC

Individual provider Athletic Trainer · NPI 1205476645

Jerry Henley Jr., LATC is an Athletic Trainer in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020

Practice location Address checks out

322 N Leavitt St Unit B
Chicago, IL 60612-1616
Phone: (312) 307-1813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IL)

Record details

NPI number1205476645
Entity typeIndividual (Type 1)
GenderMale
Credentials LATC
Sole proprietorYes
NPI enumeratedJanuary 14, 2020
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020

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