Provider Demographics
NPI:1518234723
Name:HEIL, KIRK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:
Last Name:HEIL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 N FARNSWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-2010
Mailing Address - Country:US
Mailing Address - Phone:630-880-2987
Mailing Address - Fax:630-820-9268
Practice Address - Street 1:1180 N FARNSWORTH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-2010
Practice Address - Country:US
Practice Address - Phone:630-880-2987
Practice Address - Fax:630-820-9268
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051292852183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist