AUTUMN LYNN HENZE
Registered Nurse

Address: 3226 W Potomac Ave Apt 1r, Chicago, IL 60651-3074

AUTUMN LYNN HENZE (NPI# 1851982250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851982250
Entity Type Individual
Full Name AUTUMN LYNN HENZE
Gender Female
Credential DNP, PMHNP-BC
Practice Address 3226 W Potomac Ave Apt 1r
Chicago
IL 60651-3074
Practice Telephone 9202851746
Mailing Address 3226 W Potomac Ave Apt 1r
Chicago
IL 60651-3074
Mailing Telephone 9202851746
Certification Date 2021-01-21
Enumeration Date 2021-01-28
Last Update Date 2021-01-28
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041.434400 IL Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psychiatric/Mental Health
209.022769 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3226 W POTOMAC AVE APT 1R
City CHICAGO
State IL
Zip Code 60651-3074

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1215474978 Kanesha Walker Amaro Counselor · Addiction (Substance Use Disorder) 5910 W Division, Chicago, IL 60651 2017-01-19
1326596321 Giselle Tisha Wallace Nurse's Aide 5809 W Rice, Chgo, IL 60651 2016-09-19
1811385214 Jeanette Rodriguez · Jeanette Perez Social Worker · Clinical 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 2015-01-07
1801147475 Diane Dickens-Rogers Massage Therapist 5700 W. Chicago Ave., Chicago, IL 60651 2012-09-24
1891045241 Association House of Chicago Residential Treatment Facility, Emotionally Disturbed Children 1900 North Sawyer Avenue, Chicago, IL 60651 2012-09-13
1770860983 Christine C Osborne Pharmacist 1541 N.central Ave, Chicago, IL 60651 2011-11-16
1306074000 Habilitative Systems, Inc Case Management 915 N Massasoit Ave, Chicago, IL 60651 2009-07-01
1841428547 Habilitative Systems, Inc. Case Management 4234 W Potomac Ave, Chicago, IL 60651 2009-07-01
1629206388 Habilitative Systems Inc Case Management 1049 N Drake Ave, Chicago, IL 60651 2009-07-01
1740438613 Association House of Chicago Clinic/Center · Rehabilitation, Substance Use Disorder 1116 N. Kedzie, Chicago, IL 60651 2008-09-04
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114549755 Maria Andreea Bordeianu 6050 N California Ave, Chicago, IL 60659-3916 2020-05-16
1114574886 Hyde Park Mental Wellness 1525 E 55th St Ste 205, Chicago, IL 60615-5584 2019-08-19
1689232522 Sarah Ball Schrock 3310 W Division St, Chicago, IL 60651-2301 2019-06-05
1467919498 Sherann Ivy 2259 W Taylor St, Chicago, IL 60612-4233 2019-02-26
1386117232 Prudent Alliance for Healthcare, LLC 6159 W Eddy St, Chicago, IL 60634-4122 2019-01-03
1770068421 Gian Bonador 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 2018-09-28
1790115293 Stacey Marie Meyers · Stacey Marie Meyers-Prosyniuk 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 2013-11-19
1326385824 Deborah Francine Bump · Deborah Francine Richmond 6918 S Euclid Ave, Chicago, IL 60649-1512 2013-01-03
1104058221 Lester Eugene Lamee Jr. 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 2009-08-24
1720003577 Janice E Stern 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 2006-07-13
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Competitor

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City CHICAGO
Zip Code 60651

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Dataset Information

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.