MEDICARE: HEATHER ANNE CONNORS M.S.

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	235Z00000X	Speech-Language Pathologist	146007631	IL

General Provider Information

NPI Number	:	1457379794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ANNE CONNORS M.S.

Provider Business Mailing Address
First Line	:	1150 N LAKE SHORE DR APT 6F
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-5219
Country	:	US
Telephone Number	:	312-664-4094
Fax Number	:

Provider Business Practice Location Address
First Line	:	5758 S MARYLAND AVE
Second Line	:	MC9020 DCAM 4724
City	:	CHICAGO
State	:	IL
Zip	:	60637-1426
Country	:	US
Telephone Number	:	773-834-7391
Fax Number	:

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	11/13/2023

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Directions to “ HEATHER ANNE CONNORS M.S.” Practice Location

Language	Start Address	Practice Location

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