Individual
DR. CECILIA CARROLL HEIGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
715 W HILLGROVE AVE, LA GRANGE, IL 60525-5964
(708) 482-3200
(708) 482-3288
Mailing address
715 W HILLGROVE AVE, LA GRANGE, IL 60525-5964
(708) 482-3200
(708) 482-3288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007699
IL
152WV0400X
Vision Therapy Optometrist
046007699
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001684528
BCBS
IL
Enumeration date
09/25/2006
Last updated
10/03/2011
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