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Individual

EILEEN E. HEFFERNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
202 N HAMMES AVE UNIT D, JOLIET, IL 60435-8136
(815) 744-4357
Mailing address
202 N HAMMES AVE UNIT D, JOLIET, IL 60435-8136
(815) 744-4357
(815) 744-6022

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036081868
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036081868
IL
Enumeration date
09/27/2005
Last updated
06/26/2025
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