LYDIA JEANNETTE HENDERSON MD
NPI 1942835053
Physical Medicine & Rehabilitation in Park Ridge, IL
About Lydia Jeannette Henderson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA JEANNETTE HENDERSON MD (NPI 1942835053) is an individual physical medicine & rehabilitation provider in Park Ridge, Illinois, licensed in Illinois (036-179477) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lydia Jeannette Henderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 Lydia Henderson's NPI number?
The NPI number for Lydia Henderson is 1942835053. It was assigned to this individual provider in the NPPES registry on March 9, 2020.
Where is Lydia Henderson located?
Lydia Henderson practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-2444.
What is Lydia Henderson's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Lydia Henderson enrolled in Medicare?
Yes. Lydia Henderson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lydia Henderson was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.