Heggen, Thomas A

Heggen, Thomas A is an individual health care provider with primary practice located at 1300 Busch Pkwy , Buffalo Grove IL 60089-4505. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Heggen, Thomas A can be contacted via phone (847) 850-5882.

Contact Information

Primary practice address
1300 Busch Pkwy Buffalo Grove IL 60089-4505
Fax: (845) 850-5892
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036074991 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036074991 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 036074991 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036074991 Illinois

Profile Details

NPI number 1710974860
LBN Legal business name Heggen, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 30th, 2015 - about 9 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 1710974860 NPPES
Illinois MEDICAID 036074991

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