Paddock, Heather N

Paddock, Heather N is an individual health care provider with primary practice located at 2160 S 1St Ave Bldg 110, Room 3225, Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Paddock, Heather N can be contacted via phone (708) 327-2697.

Contact Information

Primary practice address
2160 S 1St Ave Bldg 110, Room 3225 Maywood IL 60153-3328
Phone: (708) 327-2697
Fax: (708) 327-3565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 2009-02086 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 036.129011 Illinois

Profile Details

NPI number 1093913584
LBN Legal business name Paddock, Heather N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Apr 30th, 2012 - about 13 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 1093913584 NPPES
Illinois MEDICAID 5914201

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