JERRY HENLEY JR. (NPI# 1205476645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205476645 |
| Entity Type | Individual |
| Full Name | JERRY HENLEY JR. |
| Credential | LATC |
| Practice Address |
322 N Leavitt St Unit B Chicago IL 60612-1616 |
| Mailing Address |
825 W 59th St La Grange Highlands IL 60525-7411 |
| Practice Telephone | 3123071813 |
| Mailing Telephone | 3123071813 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
322 N LEAVITT ST UNIT B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1881215002 | Sierra Smith | Specialist/Technologist | 6301 S Halsted St, Chicago, IL 60621-2709 | 2020-04-28 |
| 1043830573 | Karla Landeros | Specialist/Technologist | 3533 W 62nd St, Chicago, IL 60629-3703 | 2020-04-24 |
| 1538789607 | Isabel Gonzalez | Specialist/Technologist | 3021 W Ainslie St Apt 1, Chicago, IL 60625-7378 | 2020-04-19 |
| 1679109060 | Nicole Dubro | Specialist/Technologist | 1919 S Wabash Ave Unit 325, Chicago, IL 60616-2061 | 2020-03-17 |
| 1962038604 | Aristidis John Adrahtas | Specialist/Technologist | 2501 W Addison St, Chicago, IL 60618-5902 | 2020-03-13 |
| 1083247969 | Nakia Rene' Jones | Specialist/Technologist | 7934 S Crandon Ave, Chicago, IL 60617-1146 | 2020-02-19 |
| 1841823952 | Jennifer Noonan | Specialist/Technologist | 10522 S Sacramento Ave, Chicago, IL 60655-2031 | 2020-02-17 |
| 1891326740 | Anabel Ruiz | Specialist/Technologist | 2847 N Normandy Ave, Chicago, IL 60634-4816 | 2020-01-29 |
| 1801431077 | Valentina M Garcia | Specialist/Technologist | 10737 S Avenue F, Chicago, IL 60617-6709 | 2019-11-12 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.