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Tammy Heidenthal

NPI 1134852544 · on the registry since 2022

Practice

Address
4119 Miller Oaks Dr
Mchenry, IL 60051
Phone
(847) 989-2490

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois