DR. KIMBERLY JO HENDERSON (NPI# 1861571945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861571945 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY JO HENDERSON |
| Credential | DC |
| Practice Address |
565 Lakeview Pkwy Suite 102 Vernon Hills IL 60061-1857 |
| Mailing Address |
323 Woodland Rd Libertyville IL 60048 |
| Practice Telephone | 8477939800 |
| Practice Fax Number | 8476939802 |
| Mailing Telephone | 8472876632 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114478773 | Kimberly Elaine Henderson | Community Health Worker | 1940 Sherman Ave Lot 103, Panama City, FL 32405-6263 | 2016-10-19 |
| 1578967196 | Kimberly Henderson | Licensed Practical Nurse | 7958 State Route 21, Naples, NY 14512-9207 | 2014-10-09 |
| 1740513571 | Kimberly Henderson | Hearing Instrument Specialist | 4106 W 6th St, Suite E, Lawrence, KS 66049-4624 | 2009-09-11 |
| 1619085222 | Kimberly J Henderson | Counselor | 222 Kenyon St Nw, Suite 10, Olympia, WA 98502-4553 | 2006-08-25 |
| 1114991361 | Kimberly E Henderson | Nurse Practitioner | 401 16th St Se, Rochester, MN 55904-7973 | 2006-02-15 |
| 1457902934 | Kimberly Henderson | Case Manager/Care Coordinator | 12097 Old Hammond Hwy Ste I2, Baton Rouge, LA 70816-8679 | 2019-09-25 |
| 1972931368 | Kimberly Henderson | Pharmacist | 1431 W Innes St, Salisbury, NC 28144-2501 | 2013-10-22 |
| 1558608117 | Kimberly Y Henderson | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Ste 250, Wichita, KS 67206-2368 | 2013-01-15 |
| 1790070787 | Kimberly Jill Henderson | Obstetrics & Gynecology | 334 Plaza Rd, Kingston, NY 12401-2975 | 2011-06-17 |
| 1609016831 | Kimberly S Henderson | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2009-02-27 |
| Street Address |
565 LAKEVIEW PKWY SUITE 102 |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477551752 | Ira F Fenton | Internal Medicine | 565 Lakeview Pkwy, Suite 116, Vernon Hills, IL 60061-1857 | 2005-07-12 |
| 1215365564 | Center for Emotional Peace S.c. | Psychologist | 565 Lakeview Pkwy, Suite 105, Vernon Hills, IL 60061-1857 | 2013-10-24 |
| 1215167184 | Hand Surgery Associates Sc | Specialist | 565 Lakeview Pkwy, Vernon Hills, IL 60061-1857 | 2009-07-24 |
| 1639317217 | Alex Kostiv | Family Medicine | 565 Lakeview Pkwy, Suite 190, Vernon Hills, IL 60061-1857 | 2009-02-04 |
| 1902062763 | Margaret Lee Bell | Chiropractor | 565 Lakeview Pkwy, Suite 100, Vernon Hills, IL 60061-1822 | 2008-07-31 |
| 1144480013 | Vernon Hills Shared Services, LLC | Clinic/Center | 565 Lakeview Pkwy, Vernon Hills, IL 60061-1857 | 2008-06-13 |
| 1184840977 | Lynda D. Toner | Physician Assistant | 565 Lakeview Pkwy, Suite 120, Vernon Hills, IL 60061-1857 | 2007-04-18 |
| 1518088079 | Laura Beth Rosenberg | Counselor | 565 Lakeview Pkwy, Suite 102, Vernon Hills, IL 60061-1857 | 2007-04-03 |
| 1417078858 | Westlake Medical Associates, Ltd | Internal Medicine | 565 Lakeview Pkwy, Suite 117, Vernon Hills, IL 60061-1857 | 2007-04-03 |
| 1861526949 | Prevention Specialist,ltd | Family Medicine | 565 Lakeview Pkwy, Vernon Hills, IL 60061-1857 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679039226 | Chiropractic Decompression Center | Chiropractor | 100 N Fairway Dr Ste 100, Vernon Hills, IL 60061-1859 | 2019-02-19 |
| 1104357870 | Ryan Patrick Molloy | Chiropractor | 201 Us Highway 45 Ste A, Vernon Hills, IL 60061-2300 | 2017-03-24 |
| 1427204767 | Nathan James Raders | Chiropractor | 1000 Buttefield Rd, Suite 1005, Vernon Hills, IL 60061 | 2008-08-18 |
| 1528237120 | Hubert Ervin Willis | Chiropractor | 281 W Townline Rd Ste 200, Vernon Hills, IL 60061-4334 | 2008-02-27 |
| 1124148283 | Jill Suzanne Wheeler | Chiropractor | 281 W Townline Rd, Suite 200, Vernon Hills, IL 60061-4334 | 2007-03-30 |
| 1336245786 | Derek Lewis Talbot | Chiropractor | 10 Phillip Rd, Ste 114, Vernon Hills, IL 60061-1730 | 2006-09-15 |
| 1053321349 | Jane Ann Hajduk | Chiropractor | 131 E Townline Rd, Vernon Hills, IL 60061-1424 | 2006-08-09 |
| 1093795817 | Scott S Dooley | Chiropractor | 935 Lakeview Pkwy, 110, Vernon Hills, IL 60061-1443 | 2006-01-18 |
| 1174528160 | Steven W. Hauf | Chiropractor | 10 W Phillip Rd, Suite 119, Vernon Hills, IL 60061-1799 | 2005-06-16 |
| 1952306078 | Dennis Patrick Molloy | Chiropractor | 201 Us Highway 45, Ste A, Vernon Hills, IL 60061-2300 | 2005-06-15 |
| Find all providers in VERNON HILLS | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on DR. KIMBERLY JO HENDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.