Active NPI
Jennifer Hein
- Plastic and Reconstructive Surgery Physician
- Geneva, IL
National Provider Identifier
1972905545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 036088070
- Practice address
- 2631 Williamsburg Ave Ste 102
Geneva, IL 60134-1108 - Phone
- (630) 232-7860
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 036088070 | IL | Primary |
Addresses
Primary practice location
2631 Williamsburg Ave Ste 102
Geneva, IL 60134-1108
Mailing address
2631 Williamsburg Ave Ste 102
Geneva, IL 60134-1108
Other names 1
- Jennifer Hein
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088070 | IL | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1972905545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 WILLIAMSBURG AVE STE 102",
"city": "GENEVA",
"state": "IL",
"postal_code": "601341108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 WILLIAMSBURG AVE STE 102",
"city": "GENEVA",
"state": "IL",
"postal_code": "601341108",
"telephone_number": "630-232-7860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIN",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-25",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "IL",
"license": "036088070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "HEIN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.