Henderson Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HENDERSON CHIROPRACTIC, S.C.

Practice address

100 Fitness Dr
Riverside Health Fitness Center
Bourbonnais, IL 60914-9584

Phone

(815) 929-2190

Fax

(815) 929-2191

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary Henderson, D.C.NPI 1306041124

Title

President

Phone

(815) 929-2190

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Henderson, D.C.

  • Chiropractor
  • Bourbonnais, IL
  • NPI 1306041124
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1750580999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FITNESS DR",
            "address_2": "RIVERSIDE HEALTH FITNESS CENTER",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149584",
            "telephone_number": "815-929-2190",
            "fax_number": "815-929-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FITNESS DR",
            "address_2": "RIVERSIDE HEALTH FITNESS CENTER",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149584",
            "telephone_number": "815-929-2190",
            "fax_number": "815-929-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-929-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Hawks, RBT
• Aaron Hays, CPO
• Healthy Joints, Inc.
• Helping Hands of Hope Counseling Services, LLC
• Helping Hands of Hope Counseling Services, LLC
• Gary Henderson, D.C.
• Rose M. Hernandez
• Alex Herskovic, M.D.
• Rhea A Hespen, MPT
• Michelle Hessler, MSA, LCSW

• Chiropractor in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.