Doctor Name: | COURTNEY LAWHN HEATH |
NPI Number: | 1619388378 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 3 Erie Ct Ste L700 Oak Park, IL - 603022519 |
Business Phone Number: | 7087631222 |
Business Fax Number: | 7087631471 |
Mailing Address: | 3 Erie Ct Ste L700, OAK PARK |
State: | IL |
Postal Code: | 603022519 |
Phone Number: | 7087631222 |
Fax Number: | 7087631471 |
NPI Enumeration Date: | 05/15/2014 |
NPI Last Update Date: | 05/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |