Heston J Allred
Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Normal, IL
NPI 1063012789 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1063012789
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Electroneurodiagnostic Specialist/Technologist 246ZE0600X
- Practice address
- 1604 Visa Dr Ste 1
Normal, IL 61761-2195 - Phone
- (309) 846-4716
- Fax
- (309) 454-7348
- NPI assigned
- Oct 30, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Yes |
Addresses
Primary practice location
1604 Visa Dr Ste 1
Normal, IL 61761-2195
Mailing address
1604 Visa Dr Ste 1
Normal, IL 61761-2195
Phone (309) 846-4716
Other providers in Normal, IL
- Muhammad S Akhtar
- Lyndi Alberts
- Shahid Ali
- Allied Health Group, LTD
- Tandrea N Allison
- Daniel Almekinder
- Dana L Altenburger
- Rachael Elizabeth Althoff
- Esther M Alumbaugh
- Ambulatory Medical Associates LLC
All providers in Normal, IL · Electroneurodiagnostic Specialist/Technologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.