Organization Name: | HEIDI HAMERNIK, PH.D. P.C. |
NPI Number: | 1023229986 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEIDI BETH HAMERNIK (PRESIDENT, SECRETARY) |
Mailing Address: | 8707 Skokie Blvd. Ste. 210 Skokie |
State: | IL US |
Postal Code: | 600772272 |
Phone Number: | 8477639167 |
Fax Number: | 8477631301 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |