Active NPI
Allen Walter Heinemann, PHD
- Rehabilitation Psychologist
- Chicago, IL
National Provider Identifier
1366482572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 71003191
- Practice address
- 713 W Buckingham PL
Chicago, IL 60657-6534 - Phone
- (773) 404-1152
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 71003191 | IL | Primary |
Addresses
Primary practice location
713 W Buckingham PL
Chicago, IL 60657-6534
Mailing address
713 W Buckingham PL
Chicago, IL 60657-6534
Phone (773) 404-1152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003191 | IL | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366482572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 W BUCKINGHAM PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576534",
"telephone_number": "773-404-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W BUCKINGHAM PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576534",
"telephone_number": "773-404-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINEMANN",
"first_name": "ALLEN",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "IL",
"license": "71003191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.