Individual
MR. ERICH HUGO HEINTZEN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1300 W BELMONT AVE, SUITE 400E, CHICAGO, IL 60657-3200
(773) 880-1310
(773) 880-1321
Mailing address
5842 N WAYNE AVE, UNIT G, CHICAGO, IL 60660-3467
(773) 612-6206
(773) 880-1321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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