Organization
OSTEOPATHIC MANIPULATIVE HEALTHCARE, S.C.
Active
Other names
Chicago Osteopathic Healthcare, S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT PHILIP HEINKING D.O. (DIRECTOR)
(630) 455-0472
Entity
Organization
Contact information
Practice address
6715 KINGERY HWY, WILLOWBROOK, IL 60527-5142
(630) 455-0472
(630) 455-0213
Mailing address
6715 KINGERY HWY, WILLOWBROOK, IL 60527-5142
(630) 455-0472
(630) 455-0213
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558462531
NPI INDIVIDUAL #
IL
Enumeration date
04/24/2007
Last updated
08/22/2020
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