Individual
KATHERINE ELIZABETH HEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED
Contact information
Practice address
4026 W IRVING PARK ROAD, CHICAGO, IL 60641-2925
(773) 282-5274
Mailing address
3100 N LAKE SHORE DR, APT 804, CHICAGO, IL 60657-4946
(773) 633-0995
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
09/18/2007
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