Henze, Marlene K

Henze, Marlene K is an individual health care provider with primary practice located at 1221 N Highland Ave , Aurora IL 60506-1404. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Henze, Marlene K can be contacted via phone (630) 801-2589.

Contact Information

Primary practice address
1221 N Highland Ave Aurora IL 60506-1404
Phone: (630) 801-2589
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036093007 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036093007 Illinois

Profile Details

NPI number 1154495786
LBN Legal business name Henze, Marlene K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Nov 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154495786 NPPES
Illinois MEDICAID 036093007
Illinois Other 0451514334
Illinois Other 3227787

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