Therese Heenan (NPI# 1467668285, PAC ID# 0446390025) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1467668285 |
| PAC ID by PECOS | 0446390025 |
| Professional Enrollment ID | I20160428001025 |
| Full Name | Therese Heenan |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Address |
23120 S Lagrange Rd Suite 200 Frankfort IL 60423-7760 |
| Phone Number | 8154645440 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274434717 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140186 | RIVERSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 | 8154645440 | RIVERSIDE HEALTH SYSTEM |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Abdelhafez Issa | Physical Medicine and Rehabilitation | Riverside Health System | 375 N Wall St, P520, Kankakee, IL 60901-3493 |
| Jenna Nicole Sarna | Nurse Practitioner | Riverside Health System | 25711 S Egyptian Trail, Monee, IL 60449-8118 |
| Joshua Devereux Miller | Orthopedic Surgery | Riverside Health System | 400 Riverside Dr, Suite 2800, Bourbonnais, IL 60914-5004 |
| Marisa M Schrum | Nurse Practitioner | Riverside Health System | 106 B Watters Dr, Dwight, IL 60420-2200 |
| Timothy Warren Damrow | Family Medicine | Riverside Health System | 395 N Locust St, Manteno, IL 60950-1222 |
| Sana Hussain | Endocrinology | Riverside Health System | 100 Fitness Dr, Bourbonnais, IL 60914-9584 |
| Sarah Coyne | Nurse Practitioner | Riverside Health System | 401 N Wall St, Suite 206, Kankakee, IL 60901-2949 |
| Lori Cornelius | Nurse Practitioner | Riverside Health System | 720 Bs Crescent St, Gilman, IL 60938-1518 |
| Tammie O Henderson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Jessica M Azoff | Psychiatry | Riverside Health System | 500 N Wall Ste, Suite 200, Kankakee, IL 60901-2942 |
| Street Address |
23120 S LAGRANGE RD SUITE 200 |
| City | FRANKFORT |
| State | IL |
| Zip | 60423-7760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan C Cotton | Orthopedic Surgery | Riverside Health System | 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 |
| Charles Frederick Harvey | Neurosurgery | Riverside Health System | 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 |
| Tahreer Shatat | Family Medicine | Riverside Health System | 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 |
| Annabelle Veerapaneni | Hematology/oncology | Riverside Health System | 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 |
| Joehar Hamdan | Hematology/oncology | Riverside Health System | 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 |
| Robert F Boll | Family Medicine | Riverside Health System | 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 |
| Kristin M Balthazor | Physician Assistant | Riverside Health System | 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 |
| Kimberly B Shelanskey | Nurse Practitioner | Riverside Health System | 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Glenn Tucke | Maxillofacial Surgery | Midland Oral Surgery and Implant Centers Ltd | 10097 W Lincoln Hwy, Frankfort, IL 60423-1272 |
| Jalaja V Piska | Interventional Pain Management | 10095 W Lincoln Hwy, Frankfort, IL 60423-1272 | |
| Linda J Wright | Psychologist, Clinical | 10071w Lincoln Hwy, Frankfort, IL 60423-1272 | |
| Carlo G Pagni | Maxillofacial Surgery | Midland Oral Surgery and Implant Centers Ltd | 10097 W Lincoln Hwy, Frankfort, IL 60423-1272 |
| Vassos Bill Hajiharis | Maxillofacial Surgery | Midland Oral Surgery and Implant Centers Ltd | 10097 W Lincoln Hwy, Frankfort, IL 60423-1272 |
| Zaki Anwar | Interventional Pain Management | Pain Management Institute Corp | 10181 W Lincoln Hwy, Frankfort, IL 60423-1274 |
| Ayesha Akbar | Endocrinology | 10181 W Lincoln Hwy, Frankfort, IL 60423-1274 | |
| Eden Horigan | Certified Registered Nurse Anesthetist (crna) | Pain Management Institute Corp | 10181 W Lincoln Hwy, Frankfort, IL 60423-1274 |
| Khaja Asadullah | Internal Medicine | Frankfort Medical Clinic Inc | 10181 W Lincoln Hwy, Frankfort, IL 60423-1274 |
| Marva M Gethers | Nurse Practitioner | Frankfort Medical Clinic Inc | 10181 W Lincoln Hwy, Frankfort, IL 60423-1274 |
| Find all physicians in zip 60423 | |||
| City | FRANKFORT |
| Zip Code | 60423 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FRANKFORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Therese Heenan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.