Organization
HERITAGE PROFESSIONAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH A BAIRD PHD ABPP (LICENSED CLINICAL PSYCHOLOGIST PRES)
(630) 325-5300
Entity
Organization
Contact information
Practice address
120 E OGDEN AVE 220, HINSDALE, IL 60521
(630) 325-5300
(630) 325-5309
Mailing address
120 E OGDEN AVE 220, HINSDALE, IL 60521
(630) 325-5300
(630) 325-5309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
060005612
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215636
BCBS OF IL
IL
Enumeration date
02/22/2007
Last updated
08/07/2013
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