Tammy Ann Heidenthal

NPI #1134852544 in Mchenry, Illinois

Provider Information

NPI Number: 1134852544
Entity Type: Individual
Name: Tammy Ann Heidenthal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jul 4, 2022
Last Updated: Jul 4, 2022

Practice Location

Address: 4119 MILLER OAKS DR
City: Mchenry
State: Illinois
ZIP Code: 60051-6252
Phone: (847) 989-2490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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