Nimmagadda, Heather

Nimmagadda, Heather is an individual health care provider with primary practice located at 3001 6Th St , Great Lakes IL 60088-2833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Nimmagadda, Heather can be contacted via phone (847) 688-4560.

Contact Information

Primary practice address
3001 6Th St Great Lakes IL 60088-2833
Phone: (847) 688-4560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209004994 Illinois

Profile Details

NPI number 1689991507
LBN Legal business name Nimmagadda, Heather
Credentials MS, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2010
Last updated May 2nd, 2010 - about 15 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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