Healthcare Provider Details

I. General information

NPI: 1740135227
Provider Name (Legal Business Name): HEATHER LEE JOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S MEYERS RD
OAKBROOK TERRACE IL
60181-5243
US

IV. Provider business mailing address

29W251 WAGNER RD
NAPERVILLE IL
60564-5778
US

V. Phone/Fax

Practice location:
  • Phone: 630-768-9626
  • Fax:
Mailing address:
  • Phone: 630-768-9626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number041390940
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: