Provider Demographics
NPI:1336163625
Name:HEO, LUCY S (DO)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:S
Last Name:HEO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:900 N WESTMORELAND RD STE 112
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1674
Mailing Address - Country:US
Mailing Address - Phone:847-535-7057
Mailing Address - Fax:847-615-2260
Practice Address - Street 1:800 AUSTIN ST
Practice Address - Street 2:STE 354 EAST TOWER
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3454
Practice Address - Country:US
Practice Address - Phone:847-491-6890
Practice Address - Fax:847-491-0274
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2019-10-07
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Provider Licenses
StateLicense IDTaxonomies
IL036113696207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I33671Medicare UPIN