Von Heimburg, Abby C.

Von Heimburg, Abby C. is an individual health care provider with primary practice located at 3922 Mercy Dr , Mchenry IL 60050-3179. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Von Heimburg, Abby C. can be contacted via phone (815) 578-2020.

Contact Information

Primary practice address
3922 Mercy Dr Mchenry IL 60050-3179
Phone: (815) 578-2020
Fax: (815) 344-3241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036085466 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-085466 Illinois

Profile Details

NPI number 1801895545
LBN Legal business name Von Heimburg, Abby C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Nov 17th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801895545 NPPES
Illinois MEDICAID 036085466
Illinois Other 04532206

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