GLENN C HENRIKSON

OAK LAWN, IL
NPI1275517013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036063101)
Enumeration Date2005-12-05
Last Update Date2008-05-27
Business Address
-- GLENN C HENRIKSON DO
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-5520
Mailing Address
-- GLENN C HENRIKSON DO
541 OTIS BOWEN DR
MUNSTER, IN 46321-4158
Phone number: