Provider Demographics
NPI:1548564685
Name:HEDLIN, SHEENA
Entity Type:Individual
Prefix:MRS
First Name:SHEENA
Middle Name:
Last Name:HEDLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 N LAKEWOOD AVE
Mailing Address - Street 2:#2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2807
Mailing Address - Country:US
Mailing Address - Phone:773-791-0246
Mailing Address - Fax:
Practice Address - Street 1:3801 N LAKEWOOD AVE
Practice Address - Street 2:#2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-2807
Practice Address - Country:US
Practice Address - Phone:773-791-0246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor