Heather Jane Tod in Carpentersville - Clinical
Heather Jane Tod - NPI 1972780617
Heather Jane Tod is a Clinical in Carpentersville, Illinois. Heather Jane Tod practices all healthcare services and medical treatments related to Clinical. The NPI Number for Heather Jane Tod is 1972780617. The last update date is 2008-02-08.
Heather Jane Tod's current location address is 3003 Wakefield Dr, Carpentersville, Illinois. You can contact this provider via phone number 8475518017 and fax number 8478518700. The mailing address for Heather Jane Tod is 3003 Wakefield Dr, Carpentersville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Jane Tod |
|---|---|
| Address | 3003 Wakefield Dr, Carpentersville, Illinois |
| Phone Number | 8475518017 |
| Fax Number | 8478518700 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1972780617 |
|---|---|
| Provider Enumeration Date | 2008-01-24 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 3003 Wakefield Dr |
|---|---|
| City | Carpentersville |
| State | Illinois (IL) |
| Post Code | 601102422 |
| Phone Number | 8475518017 |
| Fax Number | 8478518700 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149009601 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 149009601 | IL | IL LICENSE |
Post Comment/ Review Below
What is the Heather Jane Tod's 1972780617?
The Heather Jane Tod's NPI (National Provider Identifier) Number is 1972780617. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Heather Jane Tod?
The Heather Jane Tod is situated at 3003 Wakefield Dr, in the city of Carpentersville, state of IL, with the zip code 601102422.
What is the Heather Jane Tod's area of specialization and corresponding taxonomy classification?
The Heather Jane Tod's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Heather Jane Tod receive the assignment of its 1972780617 from the Centers for Medicare & Medicaid Services?
The Heather Jane Tod was issued its 1972780617 by the Centers for Medicare & Medicaid Services on 2008-01-24.
When was the information related to Heather Jane Tod most recently updated or refreshed?
The details pertaining to the Heather Jane Tod, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-08.