Kenyatta Henderson
Kenyatta Henderson is a Nurse Practitioner in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Illinois.
- Years since qualifying
- 5
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
9950 S Artesian AveChicago, IL 60655-1051
Phone: (888) 523-8268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209029766 (IL) |
|---|
Record details
| NPI number | 1407729163 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 27, 2025 |
| Last updated in NPPES | October 24, 2025 |
| Certification date | September 27, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
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