Individual provider Active NPI

Eileen E. Heffernan, M.D.

  • Family Medicine Physician
  • Joliet, IL
National Provider Identifier
1609862382
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036081868 Issued in IL
Practice address
202 N Hammes Ave Unit D
Joliet, IL 60435-8136
Phone
(815) 744-4357
NPI assigned
Sep 27, 2005
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036081868 IL Primary

Addresses

Primary practice location

202 N Hammes Ave Unit D
Joliet, IL 60435-8136

Mailing address

202 N Hammes Ave Unit D
Joliet, IL 60435-8136
Phone (815) 744-4357

Other identifiers 1

IdentifierTypeStateIssuer
036081868MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000098 IL Practitioner - Family Practice 8921052168 Practice locations: Joliet, IL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 N Hammes Ave
Unit D
Joliet, IL 60435-8136
Phone (815) 744-4357

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
J.E. Bertolini MD, S.C. PastSince Mar 27, 2022 Accepting new patients
J.E.Bertolini ,M.D. SC. PastSince Mar 27, 2022 Accepting new patients
Complete Family Healthcare LTD Family Medicine PastSince May 1, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eileen.heffernan.1@23456.direct.athenahealth.com
  • Direct secure messaging: eileen.heffernan@directaddress.net
  • FHIR API: https://api.platform.athenahealth.com/21705/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1609862382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N HAMMES AVE UNIT D",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358136",
            "telephone_number": "815-744-4357",
            "fax_number": "815-744-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N HAMMES AVE UNIT D",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358136",
            "telephone_number": "815-744-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "EILEEN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036081868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081868",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.