Heenan, Therese Marie
Heenan, Therese Marie is an individual health care provider with primary practice located at 23120 N Lagrange Rd , Frankfort IL 60423-7760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Heenan, Therese Marie can be contacted via phone (815) 464-5440.Contact Information
Primary practice address
23120 N Lagrange Rd
Frankfort IL 60423-7760
Phone: (815) 464-5440
Fax: (815) 936-5404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036120470 | Illinois |
Profile Details
| NPI number | 1467668285 |
|---|---|
| LBN Legal business name | Heenan, Therese Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2007 |
| Last updated | Apr 3rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467668285 | NPPES |
| Illinois | Other | 81500295 | MEDICAID |
| Illinois | Other | 000000688021 | MEDICAID |
| Illinois | Other | 9681438 | MEDICAID |
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