Heifner, Gwen
Heifner, Gwen is an sole proprietor health care provider with primary practice located at 101 Royce Rd Ste 12 , Bolingbrook IL 60440-1409. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Heifner, Gwen can be contacted via phone (312) 882-1024.Contact Information
Primary practice address
101 Royce Rd Ste 12
Bolingbrook IL 60440-1409
Phone: (312) 882-1024
Fax: (312) 488-3663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-19-35201 | Illinois |
Profile Details
| NPI number | 1346801990 |
|---|---|
| LBN Legal business name | Heifner, Gwen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2019 |
| Last updated | Nov 27th, 2023 - about 3 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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