Provider Demographics
NPI:1518280320
Name:HECKMAN, ALDRED ARTHUR JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALDRED
Middle Name:ARTHUR
Last Name:HECKMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 E PLANTATION PT
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61802-9435
Mailing Address - Country:US
Mailing Address - Phone:217-344-7894
Mailing Address - Fax:
Practice Address - Street 1:2801 E PLANTATION PT
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61802-9435
Practice Address - Country:US
Practice Address - Phone:217-344-7894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.052165174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty