| Doctor Name: | MARY MADSEN-HESKIN |
| NPI Number: | 1003164286 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 180004564 |
| Business Practice Address: | 510 S Batavia Ave Suite 201 Batavia, IL - 605102902 |
| Business Phone Number: | 6304451646 |
| Business Fax Number: | 6308791516 |
| Mailing Address: | 510 S Batavia Ave, Suite 201 BATAVIA |
| State: | IL |
| Postal Code: | 605102902 |
| Phone Number: | 6304451646 |
| Fax Number: | 6308791516 |
| NPI Enumeration Date: | 08/20/2012 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180004564 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |