Memmel Mitidiero, Heidi Christine
Memmel Mitidiero, Heidi Christine is an individual health care provider with primary practice located at 1000 N Westmoreland Rd , Lake Forest IL 60045-1658. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Memmel Mitidiero, Heidi Christine can be contacted via phone (847) 582-2134.Contact Information
Primary practice address
1000 N Westmoreland Rd
Lake Forest IL 60045-1658
Phone: (847) 582-2134
Fax: (847) 535-7285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36107710 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036107710 | Illinois |
Profile Details
| NPI number | 1184679193 |
|---|---|
| LBN Legal business name | Memmel Mitidiero, Heidi Christine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Aug 11th, 2023 - about last year |
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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