Provider Demographics
NPI:1992924955
Name:CORDINA, HEIDI L (SLP)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:L
Last Name:CORDINA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 W PORTSMITH LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7957
Mailing Address - Country:US
Mailing Address - Phone:858-405-9050
Mailing Address - Fax:
Practice Address - Street 1:1616 W PORTSMITH LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7957
Practice Address - Country:US
Practice Address - Phone:858-405-9050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP11555235Z00000X
IL146004767235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist