MELINDA HENDERSON

PEORIA, IL
NPI1679516561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL  209001122)
Enumeration Date2006-06-14
Last Update Date2007-07-08
Business Address
-- MELINDA HENDERSON C-FNP
7801 N KNOXVILLE AVE
PEORIA, IL 61614-2076
Phone number: 309-692-6088
Mailing Address
-- MELINDA HENDERSON C-FNP
5100 RELIABLE PARKWAY
CHICAGO, IL 60686-0001
Phone number: 309-692-6088