Individual
DR. JOHN HEFFERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 N LAKE SHORE DR, STE 830, CHICAGO, IL 60611-4546
(312) 943-7850
Mailing address
680 N LAKE SHORE DR, STE 830, CHICAGO, IL 60611-4546
(312) 943-7850
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036059012
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036059012
IL
Other
Enumeration date
02/07/2006
Last updated
01/09/2015
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