Individual
ELIZABETH A HEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1890 SILVER CROSS BLVD STE 370, NEW LENOX, IL 60451-9607
(815) 717-8727
Mailing address
1890 SILVER CROSS BLVD STE 370, NEW LENOX, IL 60451-9607
(815) 717-8727
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209022590
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209022590
IDFPR
IL
01
—
F11200411
AANP
IL
Enumeration date
08/06/2021
Last updated
08/06/2021
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