Individual
HEIDIJO ELYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 JUSTICE WAY ROOM C0049, INDIANAPOLIS, IN 46203
(877) 465-6650
(804) 294-2775
Mailing address
1256 WATERFORD DR STE 120, AURORA, IL 60504-4518
(630) 499-6688
(630) 499-6689
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209015218
—
IL
Enumeration date
12/19/2016
Last updated
01/13/2025
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