Individual
ABBY C. VON HEIMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3922 MERCY DR, MCHENRY, IL 60050-3179
(815) 578-2020
(815) 344-3241
Mailing address
3922 MERCY DR, MCHENRY, IL 60050-3179
(815) 578-2020
(815) 344-3241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036085466
IL
207Q00000X
Family Medicine Physician
Primary
036-085466
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085466
—
IL
01
—
04532206
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/15/2005
Last updated
11/17/2022
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