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General NPI Number Information
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NPI Number | 1205610417
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Entity Type | Organization
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Legal Business Name | HEIL HEALTH AND WELLNESS, PLLC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 4737 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60640-7758
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Country | US
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Telephone | 872-216-9612
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Fax | 872-228-9647
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Provider Business Mailing Address
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Address Line | 1460 W BERWYN AVE APT 2
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City | CHICAGO
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State | IL
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Zip | 60640-8442
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Country | US
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Telephone | 872-216-9612
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Fax | 872-228-9647
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Authorized Official
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Title or Position | OWNER, LICENSED ACUPUNCTURIST
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Name | THOMAS A HEIL JR.
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Credential | LAC
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Telephone | 872-216-9612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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