Provider Demographics
NPI:1073772679
Name:HEDEKER, JOVANKA YVONNE (CH)
Entity Type:Individual
Prefix:MS
First Name:JOVANKA
Middle Name:YVONNE
Last Name:HEDEKER
Suffix:
Gender:F
Credentials:CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 WARRINGTON ROAD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015
Mailing Address - Country:US
Mailing Address - Phone:847-940-0703
Mailing Address - Fax:847-940-0405
Practice Address - Street 1:3000 DUNDEE RD SUITE 411
Practice Address - Street 2:NORTH SHORE WELLNESS SERVICES
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062
Practice Address - Country:US
Practice Address - Phone:847-205-0371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist