Heffernan, Eileen E.
Heffernan, Eileen E. is an sole proprietor health care provider with primary practice located at 202 N Hammes Ave Unit D , Joliet IL 60435-8136. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Heffernan, Eileen E. can be contacted via phone (815) 744-4357.Contact Information
Primary practice address
202 N Hammes Ave Unit D
Joliet IL 60435-8136
Phone: (815) 744-4357
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036081868 | Illinois |
Profile Details
| NPI number | 1609862382 |
|---|---|
| LBN Legal business name | Heffernan, Eileen E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jan 4th, 2024 - about 11 months 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 | 1609862382 | NPPES |
| Illinois | MEDICAID | 036081868 |
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