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:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-495-3338
Mailing Address - Street 1:2340 S HIGHLAND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-7131
Mailing Address - Country:US
Mailing Address - Phone:630-495-3338
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:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty