| Doctor Name: | HEATHER JANE TOD |
| NPI Number: | 1972780617 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 149009601 |
| Business Practice Address: | 3003 Wakefield Dr Carpentersville, IL - 601102422 |
| Business Phone Number: | 8475518017 |
| Business Fax Number: | 8478518700 |
| Mailing Address: | 233 W Joe Orr Rd, CHICAGO HEIGHTS |
| State: | IL |
| Postal Code: | 604111744 |
| Phone Number: | 7087541044 |
| Fax Number: | 7087473497 |
| NPI Enumeration Date: | 01/24/2008 |
| NPI Last Update Date: | 02/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149009601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |