IndividualActive
Sandra Henderson
NPI 1104049691 · Personal Care Attendant · Villa Park, IL
Provider details
- NPI number
- 1104049691
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
205 N Wisconsin Avenue
Villa Park, IL 60181-2034
Phone: (630) 530-7776
Approximate (ZIP-level) locationGet directions
Mailing address
205 N Wisconsin Avenue
Villa Park, IL 60181-2034
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.