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Shauntelle Henderson, LPN
Licensed Practical Nurse in Chicago, Illinois
NPI 1760055008

Shauntelle Henderson is a Licensed Practical Nurse based in Las Vegas, IL. Shauntelle Henderson practices in Chicago, IL and has the professional credentials of LPN. The NPI Number for Shauntelle Henderson is 1760055008 and holds a License No. 043.089473 (Illinois).

The current practice location address for Shauntelle Henderson is 312 W 52Nd Pl, Chicago, IL and can be reached out via phone at 773-956-4603.

Location: 312 W 52Nd Pl, Chicago, IL, 89107-2623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760055008
Provider Name
Shauntelle Henderson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
312 W 52Nd Pl, Chicago, IL, 89107-2623
Phone Number
773-956-4603
Fax Number
Provider Enumeration Date
07/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215698527 01 IL AMOUR -PROPRE AESTHETE COLLECTIVE
institution
Provider Business Practice Location Address Details
Address
312 W 52Nd Pl
City
Chicago
State
Illinois
Zip
60609-6229
Phone Number
773-956-4603
Fax Number
person
Provider Business Mailing Address Details
Address
312 W 52Nd Pl
City
Chicago
State
Illinois
Zip
60609-6229
Phone Number
773-956-4603
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043.089473 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
()
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
person
Provider's Taxonomy Details 3
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
043.089473 (Illinois)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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