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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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