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Heidi Memmel Mitidiero, MD
NPI 1184679193 · on the registry since 2006
Practice
- Address
- 1000 N Westmoreland Rd
Lake Forest, IL 60045 - Phone
- (847) 582-2134
- Fax
- (847) 535-7285
- Organisation at this address
- Walgreen Co
Northwestern Lake Forest Hospital
Consolidated Pathology Consultants Sc
Ec Physician And Wound Specialist Llc
Northwestern Medical Faculty FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 215
Additional practice sites
- 1700 Luther Ln, Park Ridge, IL
- 2701 Patriot Blvd, Glenview, IL
Registry record
- Primary taxonomy
- Surgery Physician
208600000X
- Also registered as
- Surgery Physician
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-11
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