Fill, Heather

Fill, Heather is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fill, Heather can be contacted via phone (630) 933-4056.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Phone: (630) 933-4056
Fax: (630) 933-5868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013500 Illinois

Profile Details

NPI number 1881057313
LBN Legal business name Fill, Heather
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2016
Last updated May 18th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881057313 NPPES
Illinois Other F400288387 MEDICARE PTAN INDIVIDUAL
Illinois Other 206147 MEDICARE PTAN INDIVIDUAL

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