Organization
THE PLAINS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL HEREDIA MD MD (PRESIDENT)
(630) 845-9644
Entity
Organization
Contact information
Practice address
1541 E FABYAN PKWY STE 101, GENEVA, IL 60134-4105
(630) 845-9644
(630) 845-9678
Mailing address
1541 E FABYAN PKWY, GENEVA, IL 60134-4105
(630) 845-9644
(630) 845-9678
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
01/12/2023
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