Individual
MADELEINE D HECKENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
401 E CARPENTER ST, SPRINGFIELD, IL 62702-5104
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209012212
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209012212
APN LICENSE
IL
Enumeration date
11/19/2014
Last updated
12/19/2024
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