Individual
LESLIE B HEFFEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS, FRCD
Contact information
Practice address
1893 SHERIDAN RD, #311, HIGHLAND PARK, IL 60035-2628
(847) 433-6636
(847) 433-2090
Mailing address
1893 SHERIDAN RD, #311, HIGHLAND PARK, IL 60035-2628
(847) 433-6636
(847) 433-2090
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
190-18500
IL
Other
Enumeration date
10/25/2006
Last updated
12/26/2013
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