Individual
HEATHER CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROOSEVELT RD STE 114, GLEN ELLYN, IL 60137-5839
(630) 474-2626
(630) 474-2629
Mailing address
800 ROOSEVELT RD STE 114, GLEN ELLYN, IL 60137-5839
(630) 474-2626
(630) 474-2629
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036092063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L007237
CHAMPUS
IL
Enumeration date
12/07/2005
Last updated
04/08/2024
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