Individual
HEELAI WARDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 535-7647
(847) 535-7260
Mailing address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 535-7647
(847) 535-7260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008018
IL
363AS0400X
Surgical Physician Assistant
085008018
IL
Other
Enumeration date
07/03/2019
Last updated
02/03/2025
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