SearchIllinoisSurgical Assistant

Joshua Heacock

NPI 1689291502 · on the registry since 2020 · sole proprietor

Practice

Address
16255 Harlem Ave
Tinley Park, IL 60477
Phone
(708) 599-5000
Clinicians at this address
7

Registry record

Primary taxonomy
Surgical Assistant
246ZC0007X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-26

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