Individual
DR. HEATH WILLIAM HISHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5001 N UNIVERSITY ST, SUITE A, PEORIA, IL 61614-4799
(309) 693-2225
(309) 693-2228
Mailing address
5001 N UNIVERSITY ST, SUITE A, PEORIA, IL 61614-4799
(309) 693-2225
(309) 693-2228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-010100
STATE LICENSE
IL
01
—
K10873
OTHER MEDICARE IDENTIFIER
IL
Enumeration date
03/01/2006
Last updated
09/27/2013
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