Provider Demographics
NPI:1821631367
Name:DR CHRISTINE HECK PC
Entity Type:Organization
Organization Name:DR CHRISTINE HECK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:STURGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-641-2999
Mailing Address - Street 1:111 N WABASH AVE STE 1914
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-2968
Mailing Address - Country:US
Mailing Address - Phone:312-641-5555
Mailing Address - Fax:
Practice Address - Street 1:111 N WABASH AVE STE 1914
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2968
Practice Address - Country:US
Practice Address - Phone:312-641-2999
Practice Address - Fax:312-641-6534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty