Individual
DR. ALLEN WALTER HEINEMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
713 W BUCKINGHAM PL, CHICAGO, IL 60657-6534
(773) 404-1152
Mailing address
713 W BUCKINGHAM PL, CHICAGO, IL 60657-6534
(773) 404-1152
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
71003191
IL
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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