Provider Demographics
NPI:1437138021
Name:ARNETT, HEATHER M (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:M
Last Name:ARNETT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:HEATHER
Other - Middle Name:M
Other - Last Name:ARNETT-MCGRATH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:12200 N BRENTFIELD DR
Mailing Address - Street 2:LAKE OF THE WOODS PLAZA
Mailing Address - City:DUNLAP
Mailing Address - State:IL
Mailing Address - Zip Code:61525-9403
Mailing Address - Country:US
Mailing Address - Phone:309-243-7800
Mailing Address - Fax:
Practice Address - Street 1:12200 N BRENTFIELD DR
Practice Address - Street 2:LAKE OF THE WOODS PLAZA
Practice Address - City:DUNLAP
Practice Address - State:IL
Practice Address - Zip Code:61525-9403
Practice Address - Country:US
Practice Address - Phone:309-243-7800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL07232076OtherBLUE CROSS BLUE SHIELD
ILU97491Medicare UPIN
IL207457Medicare ID - Type Unspecified