Healthcare Provider Details

I. General information

NPI: 1689748626
Provider Name (Legal Business Name): JON HEYER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10229 W LINCOLN HWY
FRANKFORT IL
60423-1279
US

IV. Provider business mailing address

10229 W LINCOLN HWY
FRANKFORT IL
60423-1279
US

V. Phone/Fax

Practice location:
  • Phone: 815-469-7472
  • Fax: 815-469-0188
Mailing address:
  • Phone: 815-469-7472
  • Fax: 815-469-0188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: