Individual
HEATHER MIRA MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3878
(312) 225-6200
(312) 949-7389
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3878
(312) 225-6200
(312) 949-7389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009856
IL
152W00000X
Optometrist
TUV007063
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009856
—
IL
01
—
502720032
MEDICARE PTAN
IL
01
—
P01010750
RAILROAD MEDICARE
IL
Enumeration date
08/25/2006
Last updated
09/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us