National Provider Identifier Database

SHAUNTELLE HENDERSON, LPN – NPI #1760055008
Licensed Practical Nurse

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.


Contact Information

SHAUNTELLE HENDERSON, LPN
312 W 52ND PL
CHICAGO, IL60609-6229
Phone: 773-956-4603
Fax:
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X
Nursing Care 251J00000X
Point of Service 305S00000X

* Indicates primary specialty

NPI Profile & details for SHAUNTELLE HENDERSON

NPI Number 1760055008
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 07/23/2021
Last updated 01/09/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 043.089473
  • IL Other: 1215698527 AMOUR -PROPRE AESTHETE COLLECTIVE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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