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Individual

MICHAEL J HEIFERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1855 W. TAYLOR ST. STE. 3.138, M/C 648, CHICAGO, IL 60612-7242
(312) 413-3593
(312) 996-7770
Mailing address
1855 W TAYLOR ST STE 3.138, CHICAGO, IL 60612-7242
(312) 355-4547
(312) 996-7770

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036148489
IL
207W00000X
Ophthalmology Physician
A173126
CA

Other

Enumeration date
01/21/2015
Last updated
02/15/2023
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