Individual
MICHAEL J HEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4875 N. PONTIAC AVE, NORRIDGE, IL 60706
(312) 613-7899
Mailing address
6818 N. DOWAGIAC AVE, CHICAGO, IL 60646
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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