Doctor Name: | MS. JOVANKA YVONNE HEDEKER |
NPI Number: | 1073772679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CH |
License Number: | |
Business Practice Address: | 3000 Dundee Rd Suite 411 North Shore Wellness Services Northbrook, IL - 60062 |
Business Phone Number: | 8472050371 |
Business Fax Number: | |
Mailing Address: | 1142 Warrington Road, DEERFIELD |
State: | IL |
Postal Code: | 60015 |
Phone Number: | 8479400703 |
Fax Number: | 8479400405 |
NPI Enumeration Date: | 06/09/2008 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |