Elizabeth Heideman, PHD
Individual provider Active NPI Clinical Neuropsychologist · Riverwoods, IL
NPI 1992137673 · NPPES record last updated May 13, 2023
Key facts
- NPI
- 1992137673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 071.008639 (IL)
- Practice address
- 2610 Lake Cook Road
Suite 133
Riverwoods, IL 60015 - Phone
- (847) 920-7187
- Fax
- (847) 637-5238
- NPI assigned
- Aug 5, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.008639 | IL | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 071.008639 | IL | Yes |
Addresses
Primary practice location
2610 Lake Cook Road
Suite 133
Riverwoods, IL 60015
Mailing address
2610 Lake Cook Road
Suite 133
Riverwoods, IL 60015
Phone (847) 570-2000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eheideman240528@direct.northshore.org |
Other providers in Riverwoods, IL
- Maria Teresa Gonzalez
- Carol Gore
- Jerry P Gore
- Grand Rehab at Washington Heights LLC
- Melissa Hager
- Henry Hollander
- Holly Katz Counseling PLLC
- Wei-Jen W Huang
- Emily Januszewski
- Jerry P Gore Center for Holistic Medicine LLC
All providers in Riverwoods, IL · Clinical Neuropsychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.