Ronald Heiderman, D.D.S
NPI 1720148059 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4806 N Hamilton Ave
Chicago, IL 60625 - Phone
- (773) 561-0455
- Fax
- (773) 561-0455
- Organisation at this address
- Molly Sandeep Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-01
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