Organization
CECILIA C HEIGES
Active
Other names
VISION FITNESS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA CARROLL HEIGES O.D. (PRESIDENT)
(708) 482-3200
Entity
Organization
Contact information
Practice address
715 HILLGROVE AVENUE, LA GRANGE, IL 60525-5964
(708) 482-3288
Mailing address
715 HILLGROVE AVENUE, LA GRANGE, IL 60525-5964
(708) 482-3288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007699
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1684528
BCBS
IL
01
—
5838702
AETNA
IL
Enumeration date
05/10/2007
Last updated
08/05/2008
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