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Individual
KURT P HEINKING
Active
Individual
KURT P HEINKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
036.093294
IL
207Q00000X
Family Medicine Physician
036093294
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
036.093294
IL
207R00000X
Internal Medicine Physician
Primary
036093294
IL
Other
Enumeration date
09/25/2006
Last updated
09/19/2013
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