Individual provider Active NPI

John C Heyer, DO

  • Family Medicine Physician
  • Willowbrook, IL
National Provider Identifier
1750310363
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036057121 Issued in IL
Practice address
40 75TH St
Willowbrook, IL 60527-2325
Phone
(630) 581-5372
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036057121 IL Primary
Family Medicine Physician 207Q00000X 02002781A IN

Addresses

Primary practice location

40 75TH St
Willowbrook, IL 60527-2325

Mailing address

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Other practice location 1

4665 S State Road 5
South Whitley, IN 46787-9101
Phone (260) 248-9980

Other identifiers 2

IdentifierTypeStateIssuer
0090000854OtherILBCBS GROUP NUMBER
100368540MedicaidIN

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
I20151202002437 IL Practitioner - Family Practice 0941262265 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc Family Medicine CurrentSince Jul 15, 2021 Accepting new patients
Methodist Medical Center of Illinois Family Medicine CurrentSince Nov 1, 2017 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 14, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 14, 2016 Accepting new patients
Proctor Health Systems CurrentSince Nov 1, 2017 Accepting new patients
Proctor Health Systems Family Medicine Current Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Nov 1, 2017 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jul 15, 2021 Accepting new patients
Proctor Health Systems Family Medicine CurrentSince Nov 1, 2017 Accepting new patients
Nwi Urgent Care, LLC Family Medicine CurrentSince Jan 10, 2017 Accepting new patients
The Methodist Hospitals, Inc PastSince Jan 10, 2017 Accepting new patients
St Margaret Mercy Healthcare Centers Family Medicine Past Accepting new patients
Blue Skies Hospice Inc Family Medicine Past Accepting new patients

Locations

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030

8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1750310363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4665 S State Road 5",
            "address_purpose": "LOCATION",
            "city": "South Whitley",
            "state": "IN",
            "postal_code": "467879101",
            "country_code": "US",
            "telephone_number": "260-248-9980",
            "fax_number": "260-248-9981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEYER",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036057121",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02002781A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0090000854",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100368540",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.