Provider Demographics
NPI:1093022048
Name:REED, HEATHER R (NP)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:R
Last Name:REED
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:225 E CHICAGO AVE
Mailing Address - Street 2:BOX 21
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2991
Mailing Address - Country:US
Mailing Address - Phone:312-227-3548
Mailing Address - Fax:312-227-9381
Practice Address - Street 1:225 E CHICAGO AVE
Practice Address - Street 2:BOX 21
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2991
Practice Address - Country:US
Practice Address - Phone:312-227-3548
Practice Address - Fax:312-227-9381
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2013-06-24
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Provider Licenses
StateLicense IDTaxonomies
IL041-340711363L00000X
PASP011384363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner