Individual
DR. PETER T HEYDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, #710, CHICAGO, IL 60612-3841
(312) 942-4036
(312) 563-2507
Mailing address
5731 S KENWOOD AVE, CHICAGO, IL 60637-1718
(312) 942-4036
(312) 563-2507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-051342
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
3651342
IL
Other
Enumeration date
06/27/2006
Last updated
04/26/2021
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