Provider Demographics
NPI:1235022674
Name:HEGER, PARKER LAURANCE (MD)
Entity type:Individual
Prefix:
First Name:PARKER
Middle Name:LAURANCE
Last Name:HEGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19700
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62794-9700
Mailing Address - Country:US
Mailing Address - Phone:217-545-3262
Mailing Address - Fax:217-545-7305
Practice Address - Street 1:301 N 8TH ST FL 3
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62701-1041
Practice Address - Country:US
Practice Address - Phone:217-545-3262
Practice Address - Fax:217-545-7305
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125086165208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology