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Individual
DR. KIRSTEN G HEFELE
Active
Individual
DR. KIRSTEN G HEFELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036104387
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104387
—
IL
01
—
110248408
MEDICARE RAILROAD EMPLOYER PTAN
IL
01
—
1447266176
MEDICARE GROUP NPI
IL
01
—
1992849137
MEDICARE INDIVIDUAL NPI
IL
01
—
745950
MEDICARE GROUP PTAN
IL
01
—
K52343
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
02/19/2007
Last updated
03/17/2021
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