Joshua Heacock
NPI #1689291502 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1689291502
- Entity Type
- Individual
- Name
- Joshua Heacock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Enumeration Date
- Jun 26, 2020
- Last Updated
- Jun 26, 2020
Practice Location
- Address
- 16255 HARLEM AVE
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-1615
- Phone
- (708) 599-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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Organizations
| Provider Name | |
|---|---|
| Sky Surgical |
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