Provider Demographics
NPI:1235513698
Name:HENSCHEL, HEATHER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:HENSCHEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 FOXWORTH BLVD
Mailing Address - Street 2:APARTMENT 3-4
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-7038
Mailing Address - Country:US
Mailing Address - Phone:920-464-0825
Mailing Address - Fax:
Practice Address - Street 1:880 FOXWORTH BLVD
Practice Address - Street 2:APARTMENT 3-4
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-7038
Practice Address - Country:US
Practice Address - Phone:920-464-0825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18027-401835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist