Heather Jandura, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014675 Issued in IL

Practice address

329 E Le Moyne Ave
Northlake, IL 60164-2608

Phone

(773) 218-4512

NPI assigned

Mar 22, 2014

Last updated

Mar 22, 2014By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395446400000",
    "number": "1801213343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E LE MOYNE AVE",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E LE MOYNE AVE",
            "city": "NORTHLAKE",
            "state": "IL",
            "postal_code": "601642608",
            "telephone_number": "773-218-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDURA",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthstat Inc Scholle Northlake
• Megan Marie Hurt
• International Health Systems (Concord Place)
• Melissa Jacob
• Adiba Jagirdar, DMD
• Kindred Chicago Northlake, LLC (Kindred Hospital - Chicago (Northlake Campus))
• Kindred Healthcare Operating, LLC
• Kindred THC Chicago, LLC (Kindred Hospital - Chicago)
• Garrett Adam Klein, D.C.
• Jessica Knapp

• Clinical Social Worker in Northlake, IL
• Providers in Northlake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; 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.