GERMAINE HENDERSON (NPI# 1558714386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558714386 |
| Entity Type | Individual |
| Full Name | GERMAINE HENDERSON |
| Practice Address |
1301 E 47th St Chicago IL 60653-4507 |
| Mailing Address |
21200 S La Grange Rd Ste 189 Frankfort IL 60423-2003 |
| Practice Telephone | 3126639776 |
| Mailing Telephone | 3126329776 |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014447 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11336 Mckenna Dr, Frankfort, IL 604238096 | 7085180099 |
| Street Address |
1301 E 47TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189291 | Bridgette Millicent Cartwright Arnett | Specialist | 1301 E 47th St, Chicago, IL 60653-4507 | 2005-07-27 |
| 1922585355 | Jennifer A. Kirk | Nurse Practitioner | 1301 E 47th St, Chicago, IL 60653-4507 | 2018-07-27 |
| 1053897165 | Premier Health Network LLC | Clinic/Center | 1301 E 47th St, Chicago, IL 60653-4507 | 2018-07-12 |
| 1730676453 | Arnett Associates | Specialist | 1301 E 47th St, Chicago, IL 60653-4507 | 2018-04-18 |
| 1548629801 | Karen Taylor-crawford and Associates Think Clearly | Community/Behavioral Health | 1301 E 47th St, Chicago, IL 60653-4507 | 2016-02-15 |
| 1578940110 | Desarey Sims | Nurse Practitioner | 1301 E 47th St, Suite 2, Chicago, IL 60653-4507 | 2015-05-04 |
| 1801913512 | Deborah Burnet | Pediatrics | 1301 E 47th St, Chicago, IL 60653-4507 | 2007-03-26 |
| 1043338601 | Catherine Glunz | Internal Medicine | 1301 E 47th St, Chicago, IL 60653-4507 | 2007-03-26 |
| 1982721643 | Edwin Hollins | Internal Medicine | 1301 E 47th St, Suite 2, Chicago, IL 60653-4507 | 2007-03-26 |
| 1477660371 | David Lawrence Scheiner | Internal Medicine | 1301 E 47th St, Suite 2, Chicago, IL 60653-4507 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| 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.