Kenneth S Heiferman, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

036067100 Issued in IL

Practice address

7973 Chicago Ave
River Forest, IL 60305-1363

Phone

(708) 209-1111

NPI assigned

Feb 22, 2006

Last updated

Jan 23, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chicago Institute of Neurosurgery & Neuroresearch

  • Neurological Surgery Physician
  • Chicago, IL
  • NPI 1326099391
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1306811385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7973 CHICAGO AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051363",
            "telephone_number": "708-209-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7973 CHICAGO AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051363",
            "telephone_number": "708-209-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIFERMAN",
        "first_name": "KENNETH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036067100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360671001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A. Harding, M.A. CCC-SLP
• Nicole Jane Harris
• John G Hartmann, D.D.S.
• Michael J. Heatwole, D.C.
• Beth R. Heiferman, D.D.S.
• Chardonnay Henry
• Heritage Professional Associates
• Highland Park CVS, L.L.C. (CVS Pharmacy # 03889)
• Douglas Paul Hinderer
• Kristie Jo Hittle, MA, ATC, LAT

• Neurological Surgery Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.