HEIDI MICHELLE FULLER

CHICAGO, IL
NPI1093246951
Former NameHEIDI MICHELLE WEESE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: IA  105141)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-22
Last Update Date2024-04-12
Business Address
Mrs. HEIDI MICHELLE FULLER
168 N CLINTON ST FL 3
CHICAGO, IL 60661-1419
Phone number: 847-502-4898
Mailing Address
Mrs. HEIDI MICHELLE FULLER
PO BOX 772294
DETROIT, MI 48277-2294
Phone number: 847-504-5000