MEDICARE: DR. JEAN-RAFAEL R. HEIZ-NERI PHD, LAC, MSOM, BS

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
1	171100000X	Acupuncturist	198.001194	IL

General Provider Information

NPI Number	:	1376054544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEAN-RAFAEL R. HEIZ-NERI PHD, LAC, MSOM, BS

Provider Business Mailing Address
First Line	:	1208 W GRANVILLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-1905
Country	:	US
Telephone Number	:	773-954-5422
Fax Number	:

Provider Business Practice Location Address
First Line	:	1208 W GRANVILLE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-1905
Country	:	US
Telephone Number	:	773-954-5422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2017
Last Update Date	:	10/16/2017

Similar Medicare Providers

1407934888 — DEZANEK PODIATRY CENTER LTD
Practice Location Address:

5916 W HIGGINS AVE
CHICAGO, IL
60630-1905

Practice Phone: 773-283-1911
Practice Fax:

1811012073 — ADAM A SOLANO,DDS.,PC
Practice Location Address:

5918 W HIGGINS AVE
CHICAGO, IL
60630-1905

Practice Phone: 773-685-4343
Practice Fax:

1326163551 — DR. ADAM A SOLANO DDS
Practice Location Address:

5918 W HIGGINS AVE
CHICAGO, IL
60630-1905

Practice Phone: 773-685-4343
Practice Fax:

1124149174 — DR. BARBARA R BRISK-ZIZIC DDS
Practice Location Address:

25 E WASHINGTON ST STE 1905
CHICAGO, IL
60602-1823

Practice Phone: 312-641-0002
Practice Fax: 312-641-2258

1689897845 — DR. WILLIAM R ZIZIC DDS
Practice Location Address:

25 E WASHINGTON ST STE 1905
CHICAGO, IL
60602-1823

Practice Phone: 312-641-0002
Practice Fax: 312-641-2258

1447449798 — DR. ROBERT CHARLES DEZANEK DPM
Practice Location Address:

5916 W HIGGINS AVE
CHICAGO, IL
60630-1905

Practice Phone: 773-283-1911
Practice Fax:

Directions to “ DR. JEAN-RAFAEL R. HEIZ-NERI PHD, LAC, MSOM, BS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.