Individual
DR. JOHN C HEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
Mailing address
40 75TH ST, WILLOWBROOK, IL 60527-2325
(630) 581-5372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02002781A
IN
207Q00000X
Family Medicine Physician
Primary
036057121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090000854
BCBS GROUP NUMBER
IL
05
—
100368540
—
IN
Enumeration date
07/03/2006
Last updated
08/05/2021
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