| Chique Henderson, | |
|
1449 S Michigan Ave Ste 13354, Chicago, IL 60605-2810 | |
| (312) 523-4988 | |
| (878) 201-5357 |
| Full Name | Chique Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1449 S Michigan Ave Ste 13354, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114890803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209033345 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Clinical Llc | 7214034925 | 15 |
| Health Hub Llc | 3274817481 | 16 |
| Entity Name | Paragon Clinical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114139946 PECOS PAC ID: 7214034925 Enrollment ID: O20070515000051 |
| Entity Name | Health Hub LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598203390 PECOS PAC ID: 3274817481 Enrollment ID: O20170308001076 |
| Mailing Address | Practice Location Address |
|---|---|
| Chique Henderson, 3440 N Lake Shore Dr Apt 7e, Chicago, IL 60657-2846 Ph: (312) 523-4988 | Chique Henderson, 1449 S Michigan Ave Ste 13354, Chicago, IL 60605-2810 Ph: (312) 523-4988 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 |
Cynthia Phillips, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2003 W Fulton St Ste 505, Chicago, IL 60612 Phone: 312-243-2223 |
Jessica Lauren Offenbach, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 312-227-4000 |
Ms. Jenny Ko Lee, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 847-962-6268 |
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 W Grand Ave Ste B, Chicago, IL 60612 Phone: 708-630-1534 Fax: 888-517-8619 |
Stacy Ervin, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 |
Mr. Joshua Bryan Dunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 W Harrison St, Chicago, IL 60607 Phone: 312-942-5904 |