Individual
DR. RAYMOND R HEYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE SAINT MARK CT, PEORIA, IL 61603-3717
(309) 674-1234
(309) 674-6422
Mailing address
400 NE SAINT MARK CT, PEORIA, IL 61603-3717
(309) 674-1234
(309) 674-6422
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036075507
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075507
—
IL
Enumeration date
08/22/2005
Last updated
06/18/2010
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