Heather Ann San Juan
Nurse Practitioner - Women's Health
613 S Poplar Ave
Elmhurst
, Illinois 60126-4061
Heather Ann San Juan
Nurse Practitioner - Women's Health
613 S Poplar Ave
Elmhurst
, Illinois 60126-4061
(630) 217-9620
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Heather Ann San Juan
- 613 S Poplar Ave
- Elmhurst, IL
- Zip : 60126-4061
- Phone : (630) 217-9620
Second Address
- Heather Ann San Juan
- 613 S Poplar Ave
- Elmhurst, IL
- Zip : 60126-4061
- Phone : (630) 217-9620
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Where is Heather Ann San Juan ’s practice located?
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Is Heather Ann San Juan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 209.016722 | IL |
National Provider Identifier
| NPI | 1033626262 |
|---|---|
| Provider Name | Heather Ann San Juan |
| First Address | Elmhurst, IL 60126-4061 |
| Second Address | Elmhurst, IL 60126-4061 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2018 |
| Last Update Date | 09/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209.016722 | IDFPR (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.