Individual
JUDITH HEILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1705 W 25TH AVE STE 102, GARY, IN 46404-3544
(219) 884-2011
(219) 844-0211
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 575-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000992A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451860
—
IN
Enumeration date
04/13/2006
Last updated
10/02/2020
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