MEDICARE: BEVERLY HENDERSON LTD P.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1605885	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1790977841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEVERLY HENDERSON LTD P.C

Provider Business Mailing Address
First Line	:	2807 S ARCHER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-5617
Country	:	US
Telephone Number	:	312-791-0453
Fax Number	:	312-791-0715

Provider Business Practice Location Address
First Line	:	2807 S ARCHER AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-5617
Country	:	US
Telephone Number	:	312-791-0453
Fax Number	:	312-791-0715

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BEVERLY HENDERSON
Credential	:
Telephone Number	:	312-791-0453

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	10/10/2007

Similar Medicare Providers

1942313085 — MS. BEVERLY HENDERSON D.C.
Practice Location Address:

2807 S ARCHER AVE
CHICAGO, IL
60608-5617

Practice Phone: 312-791-0453
Practice Fax: 312-791-0715

1598767741 — DR. GAIL I VAN WINGERDEN DONS M.D.
Practice Location Address:

5617 S DORCHESTER AVE , 4N
CHICAGO, IL
60637

Practice Phone: 210-710-5467
Practice Fax:

1346460243 — F. R. CAVERO, D.D.S. & ASSOCIATES, P.C.
Practice Location Address:

3521 N ELSTON AVE
CHICAGO, IL
60618-5617

Practice Phone: 773-588-7645
Practice Fax:

1447470323 — DR. FRANCES R. CAVERO D.D.S.
Practice Location Address:

3521 N ELSTON AVE
CHICAGO, IL
60618-5617

Practice Phone: 773-588-7645
Practice Fax:

1134397839 — FRANCISCO R CAVERO DDS & ASSOCIATES LTD
Practice Location Address:

3521 N ELSTON AVE
CHICAGO, IL
60618-5617

Practice Phone: 773-539-6994
Practice Fax:

1295349959 — DENNIS FRYMIRE LMT
Practice Location Address:

4955 N MONTICELLO AVE # 2
CHICAGO, IL
60625-5617

Practice Phone: 773-332-6705
Practice Fax:

Directions to “BEVERLY HENDERSON LTD P.C ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.