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Individual

ELIZABETH (DEE) HEATON HARTMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
400 E RANDOLPH ST, PROFESSIONAL SUITE 205, CHICAGO, IL 60601-7329
(312) 650-5242
(312) 324-0577
Mailing address
400 E RANDOLPH ST, PROFESSIONAL SUITE 205, CHICAGO, IL 60601-7329
(312) 650-5242
(312) 324-0577

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1635499
BCBS
IL
Enumeration date
03/07/2007
Last updated
07/08/2007
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