institution
Marlene K Henze Md Pc
Health Service Clinic/Center in Morris, Illinois
NPI 1437462975

Marlene K Henze Md Pc is a Health Service Clinic/Center based in Coal City, IL and is specialized in Health Service. Marlene K Henze Md Pc practices in Morris, IL. The NPI Number for Marlene K Henze Md Pc is 1437462975 and holds a License No. 036093007 (Illinois).

The current practice location address for Marlene K Henze Md Pc is 151 W High St, Morris, IL and can be reached out via phone at 815-416-1331 and via fax at 815-634-3188.

Location: 151 W High St, Morris, IL, 60416-1869
institution
Provider Profile Details
NPI Number
1437462975
Provider Name
Marlene K Henze Md Pc
Credential
Provider Entity Type
Organization
Address
151 W High St, Morris, IL, 60416-1869
Phone Number
815-416-1331
Fax Number
815-634-3188
Provider Enumeration Date
07/26/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080181425 01 IL MEDICARE RAILROAD
036093007 01 ILLINOIS MEDICAID
3227787 01 IL BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
151 W High St
City
State
Zip
60450-1407
Phone Number
815-416-1331
Fax Number
815-634-3188
person
Provider Business Mailing Address Details
Address
151 W High St
City
State
Zip
60450-1407
Phone Number
815-416-1331
Fax Number
815-634-3188
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
036093007 (Illinois)
Definition
Definition to come...
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