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Mrs. Heidi Michelle Fuller
Podiatrist in Chicago, Illinois
NPI 1093246951

Heidi Michelle Fuller is a Podiatrist based in Detroit, IL. Heidi Michelle Fuller practices in Chicago, IL. The NPI Number for Heidi Michelle Fuller is 1093246951 and holds a License No. (Illinois).

The current practice location address for Heidi Michelle Fuller is 168 N Clinton St Fl 3, Chicago, IL and can be reached out via phone at 847-502-4898 and via fax at 847-504-5015.

Location: 168 N Clinton St Fl 3, Chicago, IL, 48277-2294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093246951
Provider Name
Heidi Michelle Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
168 N Clinton St Fl 3, Chicago, IL, 48277-2294
Phone Number
847-502-4898
Fax Number
847-504-5015
Provider Enumeration Date
03/22/2017
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
168 N Clinton St Fl 3
City
Chicago
State
Illinois
Zip
60661-1419
Phone Number
847-502-4898
Fax Number
847-504-5015
person
Provider Business Mailing Address Details
Address
168 N Clinton St Fl 3
City
Chicago
State
Illinois
Zip
60661-1419
Phone Number
847-502-4898
Fax Number
847-504-5015
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
105141 (Iowa)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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