SearchIllinois208100000X

Crystalyn Heidegger

NPI 1598586273 · on the registry since 2024 · sole proprietor

Practice

Address
17029 Odell Ave
Tinley Park, IL 60477
Phone
(708) 407-5727

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-24

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