Provider Demographics
NPI:1821196593
Name:VYHMEISTER, HEIDI ANNETTE (CNM)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:ANNETTE
Last Name:VYHMEISTER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:GRUMLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:1446 WESTCHESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154
Mailing Address - Country:US
Mailing Address - Phone:708-410-2399
Mailing Address - Fax:
Practice Address - Street 1:1701 W SUPERIOR
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622
Practice Address - Country:US
Practice Address - Phone:312-666-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209002414367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife