Chardonnay Henry
NPI #1275192494 in River Forest, Illinois
Provider Information
- NPI Number
- 1275192494
- Entity Type
- Individual
- Name
- Chardonnay Henry
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Prosthetist
- Enumeration Date
- Jun 11, 2019
- Last Updated
- Jun 15, 2024
Practice Location
- Address
- 7627 LAKE STREET
- Address 2
- SUITE 206 PMB 1005
- City
- River Forest
- State
- Illinois
- ZIP Code
- 60305-1878
- Phone
- (708) 316-9951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetist |
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