Individual
HEIDI JOHNS-FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
(815) 971-2000
Mailing address
3401 N PERRYVILLE RD, ROCKFORD, IL 61114-8011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.003155
IL
Other
Enumeration date
08/17/2014
Last updated
01/29/2015
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