Healthcare Provider Details

I. General information

NPI: 1215120969
Provider Name (Legal Business Name): JESSICA HEUER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 W. ANTHONY DR
URBANA IL
61801-7431
US

IV. Provider business mailing address

611 W. PARK
URBANA IL
61801
US

V. Phone/Fax

Practice location:
  • Phone: 217-326-2911
  • Fax: 217-344-8047
Mailing address:
  • Phone: 217-326-2911
  • Fax: 317-344-8047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146008641
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: