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Individual

DR. PAUL JOHN HEATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
3000 DUNDEE RD, SUITE 411, NORTHBROOK, IL 60062-2422
(224) 217-0800
(847) 729-6208
Mailing address
1828 SILVERWILLOW DR, GLENVIEW, IL 60025-2025
(224) 217-0800
(847) 729-6208

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
IL

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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