Doctor Name: | HEATHER LEIGH HEBERT |
NPI Number: | 1093003147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDMS, RVT |
License Number: | 500484028 |
Business Practice Address: | 1801 N State Route 1 Building 3, Suite 1 Watseka, IL - 609707562 |
Business Phone Number: | 8154320100 |
Business Fax Number: | 8154320900 |
Mailing Address: | 2404 N 2110 East Rd, WATSEKA |
State: | IL |
Postal Code: | 609706059 |
Phone Number: | 8154322621 |
Fax Number: | 8154320900 |
NPI Enumeration Date: | 07/11/2011 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 500484028 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |