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Individual

ILAH MARIE HELLER-BAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15505 127TH ST, LEMONT, IL 60439-4433
(630) 257-5400
(630) 257-1954
Mailing address
15505 127TH ST, LEMONT, IL 60439-4433
(630) 257-5400
(630) 257-1954

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036110756
IL
208000000X
Pediatrics Physician
036110756
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01634883
BLUE CROSS, BLUE SHIELD O
IL
05
036110756
IL
01
276
SILVER CROSS MANAGED CARE
IL
01
5936374
AETNA
IL
01
6599328
CIGNA HEALTH CARE
Enumeration date
01/02/2007
Last updated
09/27/2011
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