Individual
ANGEL HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 E FABYAN PKWY STE 101, GENEVA, IL 60134-4105
(630) 845-9644
(630) 845-9678
Mailing address
1541 E FABYAN PKWY STE 101, GENEVA, IL 60134-4105
(630) 845-9644
(630) 260-1049
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036078873
IL
Other
Enumeration date
11/16/2006
Last updated
02/01/2023
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