Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275192494 Individual Practitioner Female Practitioner

Chardonnay Henry

Prosthetist • River Forest, IL

Professional Overview & Biography Verified Profile Summary

Chardonnay Henry is a registered healthcare professional specializing in Prosthetist in River Forest, IL. Practice services are available at 7627 LAKE STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7627 Lake Street
Suite 206 Pmb 1005

River Forest, IL 603051878

Telephone 7083169951
Fax 7083676934

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in River Forest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in River Forest, IL (66 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-15
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License IL KAESVF8SO6

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1689831349

Doctor of Chiropractic

Eva Reynoso , LCSW

Social Worker - Clinical

NPI 1982098000

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 15, 2024

Registered at 7627 LAKE STREET, SUITE 206 PMB 1005, RIVER FOREST, IL 603051878 (Tel: 7083169951)

📍
Updated Business Mailing Address June 15, 2024

Registered at 7627 LAKE STREET, SUITE 206 PMB 1005, RIVER FOREST, IL 603051878 (Tel: 7083169951)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2024

Prosthetist (License #KAESVF8SO6 in IL)

NPI Profile Active June 11, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2019

Registered at 310 N LOOMIS ST, CHICAGO, IL 606071147 (Tel: 3122438487)

📍
Updated Business Mailing Address June 11, 2019

Registered at 310 N LOOMIS ST, CHICAGO, IL 606071147 (Tel: 3122438487)

👤
Provider Name / Credentials Updated June 11, 2019

Recorded as CHARDONNAY HENRY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration June 11, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275192494
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2019
Last Update: June 15, 2024
Sole Proprietor: No

Mailing Address

7627 Lake Street, Suite 206 Pmb 1005

River Forest, IL 603051878

Phone: 7083169951

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.