Provider Demographics
NPI:1982936662
Name:HEDDON, CHRIS M (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:M
Last Name:HEDDON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1300 FRANKLIN AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-3592
Mailing Address - Country:US
Mailing Address - Phone:309-268-3502
Mailing Address - Fax:309-268-3713
Practice Address - Street 1:1300 FRANKLIN AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-3592
Practice Address - Country:US
Practice Address - Phone:309-268-3502
Practice Address - Fax:309-268-3713
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL125.056268207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology