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Organization

NORTHESTERN ILLINOIS UNIVERSITY STUDENT HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHARON KAY HEIMBAUGH RN, APN, FNP (DIRECTOR OF STUDENT HEALTH SERVICES)
(773) 442-5800
Entity
Organization

Contact information

Practice address
5500 N SAINT LOUIS AVE RM E-051, CHICAGO, IL 60625-4625
(773) 442-5800
(773) 442-5808
Mailing address
5500 N SAINT LOUIS AVE RM E-051, CHICAGO, IL 60625-4625
(773) 442-5800
(773) 442-5808

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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