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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA DEDIC HENRIKSON, APN

Active

TARA DEDIC HENRIKSON, APN is a Adult Health Nurse Practitioner healthcare provider located in CHICAGO, Illinois. NPI 1225386345 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · CHICAGO, IL

Registration Details

NPI Number
1225386345
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2012 (14.006497201634 yrs)
Last Updated
Sep 18, 2019
Licenses
041347688 (IL)
209009963 (IL)
209.009963 (IL)

Practice Information

Address
250 E SUPERIOR ST STE 4-420
CHICAGO, IL, 606112914
Browse IL providers · Browse ZIP 60611
Phone
3126950990
Fax
3124724784
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X
Additional Specialty
Nurse Practitioner

Other Adult Health Nurse Practitioner Providers in CHICAGO, IL

Name Credential NPI
PATRICIA M SCHULTZ N.P. 1285609149
MRS. EUN SEO CHO ANP 1912973421
MS. ELIZABETH ANN BOHLING NP-C 1730156779
MISS CLARA LA VERNE ARMSTRONG RN, NP 1558330696
MS. PHYLLIS ANITA EVANS NURSE PRACTITIONER 1942279849
JANICE C KNUCKEY NP 1588627558
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.