Individual
ALISA KEARNEY HEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5700 S MARYLAND AVE, CHICAGO, IL 60637
(888) 824-0200
Mailing address
522 S CATHERINE AVE, LA GRANGE, IL 60525-2823
(206) 271-0751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018421
IL
363LF0000X
Family Nurse Practitioner
21250
CA
Other
Enumeration date
09/18/2012
Last updated
12/28/2018
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