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Chardonnay Henry

NPI 1275192494ActiveIndividual· Prosthetist· River Forest, IL

Prosthetist in River Forest, Illinois, licensed in IL, with an NPI issued in June 2019.

Overview

NPI1275192494
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 11, 2019
Last updated in NPPESJun 15, 2024
Certified by providerJun 15, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Prosthetist Primary224P00000XKAESVF8SO6IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years