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NPI Code Detail

MEDICARE: HEYER CELESTIAL PAUL DEVARAPALLI MD SC

MEDICARE: HEYER CELESTIAL PAUL DEVARAPALLI MD SC
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
1207R00000XInternal Medicine Physician036117190IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11637966OTHERILBC BS

General Provider Information

NPI Number : 1235327677
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEYER CELESTIAL PAUL DEVARAPALLI MD SC
Provider Business Mailing Address
First Line : 1015 S EVERGREEN AVE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-3144
Country : US
Telephone Number : 847-296-0336
Fax Number : 847-789-8548
Provider Business Practice Location Address
First Line : 1015 S EVERGREEN AVE
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-3144
Country : US
Telephone Number : 847-296-0336
Fax Number : 847-789-8548
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : HEYER CP DEVARAPALLI
Credential : MD
Telephone Number : 847-296-0336
Provider Enumeration Date : 10/11/2007
Last Update Date : 01/06/2023

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