MEDICARE: HEATHER DUNCAN

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
1	363LF0000X	Family Nurse Practitioner	AP 60667634	WA
2	363L00000X	Nurse Practitioner	AP60667634	WA
3	363LF0000X	Family Nurse Practitioner	209.024899	IL

General Provider Information

NPI Number	:	1952858813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER DUNCAN

Provider Business Mailing Address
First Line	:	PO BOX 746715
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6715
Country	:	US
Telephone Number	:	773-589-4385
Fax Number	:	872-228-8601

Provider Business Practice Location Address
First Line	:	1819 N HARLEM AVE STE A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60707-3716
Country	:	US
Telephone Number	:	773-589-4385
Fax Number	:	872-228-8601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2016
Last Update Date	:	05/13/2026

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Directions to “ HEATHER DUNCAN ” Practice Location

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