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NPI Code Detail

MEDICARE: STEVEN MICHAEL HEUERTZ MA, LCSW

MEDICARE: STEVEN MICHAEL HEUERTZ MA, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker149014001IL

General Provider Information

NPI Number : 1124355672
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN MICHAEL HEUERTZ MA, LCSW
Provider Business Mailing Address
First Line : 1755 PARK ST STE 200
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8404
Country : US
Telephone Number : 630-778-3476
Fax Number : 630-300-3630
Provider Business Practice Location Address
First Line : 1755 PARK ST STE 200
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8404
Country : US
Telephone Number : 630-778-3476
Fax Number : 630-300-3630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2009
Last Update Date : 01/06/2016

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