SHAUNTELLE HENDERSON LPN
NPI 1760055008
Licensed Practical Nurse in Chicago, IL

Active since July 23, 2021
312 W 52ND PL, CHICAGO, IL 60609(773) 956-4603 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2022, Jul 23, 2021 (2 updates tracked since 2021).

About Shauntelle Henderson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAUNTELLE HENDERSON LPN (NPI 1760055008) is an individual licensed practical nurse in Chicago, Illinois, licensed in Illinois (043.089473) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1760055008
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHAUNTELLE HENDERSONCredential: LPN
Location Address312 W 52ND PLChicago, IL 60609-6229
Mailing Address304 S Jones Blvd # 2440Las Vegas, NV 89107-2623 · (708) 506-1536
Sole ProprietorYes
Enumeration DateJuly 23, 2021
Last NPPES UpdateJanuary 9, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2022
NPI 1760055008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in IL · 043.089473
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedNursing CareTaxonomy 251J00000X · License 043.089473 (IL)
Also ListedPoint of ServiceTaxonomy 305S00000X
312 W 52ND PL, Chicago, IL 60609

Other Identifiers 1

Other1215698527IL · Amour -propre Aesthete Collective

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Point of Service
312 W 52ND PL
CHICAGO, IL 60609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shauntelle Henderson's NPI number?

The NPI number for Shauntelle Henderson is 1760055008. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Shauntelle Henderson located?

Shauntelle Henderson practices at 312 W 52nd Pl, Chicago, IL 60609. The listed phone number is (773) 956-4603.

What is Shauntelle Henderson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shauntelle Henderson was last updated on January 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.