Leslie B Heffez, DMD, MS, FRCD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

190-18500 Issued in IL

Practice address

1893 Sheridan Rd
#311
Highland Park, IL 60035-2628

Phone

(847) 433-6636

Fax

(847) 433-2090

NPI assigned

Oct 25, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 20, 2013 through Apr 20, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Board of Trustees of the University of Illinois

  • Dentist
  • Chicago, IL
  • NPI 1992873921
  NPD (past)
• Highland Park Oms

  • Oral and Maxillofacial Surgery (Dentist)
  • Highland Park, IL
  • NPI 1912283730
  NPD (past)
• Hpoms

  • Oral and Maxillofacial Surgery Clinic/Center
  • Highland Park, IL
  • NPI 1588070148
  NPD (past)
• The Board of Trustees of the University of Illinois

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1134118649
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1609950740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD",
            "address_2": "#311",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352628",
            "telephone_number": "847-433-6636",
            "fax_number": "847-433-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 SHERIDAN RD",
            "address_2": "#311",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352628",
            "telephone_number": "847-433-6636",
            "fax_number": "847-433-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFEZ",
        "first_name": "LESLIE",
        "middle_name": "B",
        "credential": "DMD, MS, FRCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": "190-18500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Walter Hay, COTA/L
• Ulemjamirlangui Hayanhirvaa, LMT
• Heart & Mind Therapy, PLLC
• Herbert Mason Hedberg, M.D.
• Jessica Heffernan
• Deborah Diane Hege, LCSW
• Katherine Elizabeth Heile, MS CCC SLP
• Lucinda Heineman, OTR/L
• Tricia Heneghan, AU.D.
• Alexis E Henion, PA-C

• Oral & Maxillofacial Surgery (D.M.D.) in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.