Individual
HEIDI C LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
859 RAINTREE DR, NAPERVILLE, IL 60540-6382
(630) 579-9182
Mailing address
PO BOX 6542, NAPERVILLE, IL 60567-6542
(630) 579-9182
(630) 579-6040
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004775
IL
Other
Enumeration date
07/26/2005
Last updated
02/03/2022
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