DR. ALLEN WALTER HEINEMANN (NPI# 1366482572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366482572 |
| Entity Type | Individual |
| Full Name | DR. ALLEN WALTER HEINEMANN |
| Credential | PHD |
| Practice Address |
713 W Buckingham Pl Chicago IL 60657-6534 |
| Practice Telephone | 7734041152 |
| Mailing Telephone | 7734041152 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
71003191 | IL | Behavioral Health & Social Service Providers |
| Street Address |
713 W BUCKINGHAM PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104044650 | William Borden | Social Worker | 713 W Buckingham Pl, Chicago, IL 60657-6534 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518222967 | Aanchal Taneja | Psychologist | 3315 N Sheffield Ave, Apt 2, Chicago, IL 60657-2212 | 2012-07-11 |
| 1780062638 | Laurin Jarrold Mack | Psychologist | 710 S Paulina St, Suite 316a, Chicago, IL 60612-3808 | 2015-05-12 |
| 1811167489 | Richard R Trezona Jr. | Psychologist | 345 E Superior St, Chicago, IL 60611-2654 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692280 | Rachel Anne Brokenshire | Psychologist | 10634 Fairfield St, Westchester, IL 60154-5106 | 2020-05-29 |
| 1902370299 | Julie Ann Marsh | Psychologist | 7120 W. William St., Decatur, IL 62522 | 2019-01-20 |
| 1477037133 | Hilltop Haven Inc | Psychologist | 2018 Il Route 173, Richmond, IL 60071-9628 | 2018-09-19 |
| 1669416749 | David A. Priddy | Psychologist | 575 N Kellogg St Ste 4, Galesburg, IL 61401-7609 | 2006-06-16 |
| 1245742865 | Neurorehab Psychology Consultants, LLC | Psychologist | 419 Center St Ste C, Grayslake, IL 60030-1645 | 2017-11-05 |
| 1982985859 | Jennifer Lynn Perez | Psychologist | 128 Washington Sq, Washington, IL 61571-2657 | 2011-09-06 |
| 1801063029 | Amber Nicole Tesman | Psychologist | 1801 Fox Dr, Champaign, IL 61820-7236 | 2008-05-15 |
Please comment or provide details below to improve the information on DR. ALLEN WALTER HEINEMANN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.