Heckenkamp, Madeleine D

Heckenkamp, Madeleine D is an individual health care provider with primary practice located at 3132 Old Jacksonville Rd , Springfield IL 62704-7400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Heckenkamp, Madeleine D can be contacted via phone (217) 588-2600.

Contact Information

Primary practice address
3132 Old Jacksonville Rd Springfield IL 62704-7400
Phone: (217) 588-2600
Fax: (217) 862-0904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209012212 Illinois

Profile Details

NPI number 1063818094
LBN Legal business name Heckenkamp, Madeleine D
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2014
Last updated Jan 4th, 2019 - about 5 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 1063818094 NPPES
Illinois Other 209012212 APN LICENSE

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