Provider Demographics
NPI:1568444297
Name:HEIN, CONSTANCE C (DC)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:C
Last Name:HEIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 W DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-3936
Mailing Address - Country:US
Mailing Address - Phone:847-459-0321
Mailing Address - Fax:847-459-4246
Practice Address - Street 1:1111 W DUNDEE RD
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-3936
Practice Address - Country:US
Practice Address - Phone:847-459-0321
Practice Address - Fax:847-459-4246
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL446130Medicare ID - Type Unspecified