Individual
AMY B. HEIMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-8143
(312) 695-4430
Mailing address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-8143
(312) 695-4430
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036155266
IL
2086X0206X
Surgical Oncology Physician
L6422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152169201
—
TX
Enumeration date
09/27/2006
Last updated
05/03/2021
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