Everett Craig Henderson Jr., ATC

Athletic Trainer · Evanston, IL

Individual Active NPI

NPI number 1861992083

Practice location

1600 Dodge Ave
Evanston, IL 60201-3449
Phone
(847) 424-7373

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NPI record

NPI
1861992083
Entity type
Individual (Type 1)
Enumeration date
February 14, 2018
Last updated
February 14, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096004586 IL

About Everett Henderson

Everett Craig Henderson Jr., ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1600 Dodge Ave, Evanston, IL 60201-3449. The NPI number 1861992083 was assigned on February 14, 2018 and the record was last updated on February 14, 2018.

Everett Henderson lists a license in the registry: #096004586 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Everett Craig Henderson Jr., ATC?

The NPI number is 1861992083.

What is the phone number of Everett Henderson?

The phone number listed for the practice location is (847) 424-7373.

Where is Everett Henderson located?

1600 Dodge Ave, Evanston, IL 60201-3449.

What is the taxonomy code for Everett Henderson?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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