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1881806123
JEAN L HEIDEMAN
CHICAGO, IL
NPI
1881806123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent
(Licence: IL 209004093)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- JEAN L HEIDEMAN APN
3000 N HALSTED ST STE 505
CHICAGO, IL 60657-5194
Phone number: 773-784-2398
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Mailing Address
-- JEAN L HEIDEMAN APN
1430 W CATALPA AVE
CHICAGO, IL 60640-1212
Phone number:
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