| Heidi Marie Koeneman, MS CCC-SLP | |
|
1675 Dempster St, Park Ridge, IL 60068-1110 | |
| (847) 723-4532 | |
| Not Available |
| Full Name | Heidi Marie Koeneman |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1675 Dempster St, Park Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174956494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242.002799 (Illinois) | Primary |
| Provider Name | Advocate Health And Hospitals Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Marie Koeneman, MS CCC-SLP 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Heidi Marie Koeneman, MS CCC-SLP 1675 Dempster St, Park Ridge, IL 60068-1110 Ph: (847) 723-4532 |
Mrs. Erin Renee Chiseri, M.A. CCC- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Stewart Ave, Park Ridge, IL 60068 Phone: 847-318-4360 | |
Madison Elizabeth Rankin, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 422 N Northwest Hwy Ste 210, Park Ridge, IL 60068 Phone: 847-699-9757 Fax: 847-696-3626 | |
Brenda Mullan Eberline, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 535 N Hamlin Ave, Park Ridge, IL 60068 Phone: 847-858-5350 | |
Camille Ponce Kasprzak, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-723-4532 Fax: 847-723-4540 | |
Grace Ann Malone, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 924 Austin Ave, Park Ridge, IL 60068 Phone: 847-848-5499 | |
Stephanie Ann Markos, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 444 N Northwest Hwy Ste 147, Park Ridge, IL 60068 Phone: 847-610-9798 | |
Abby Schaffer, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 422 N Northwest Hwy Ste 210, Park Ridge, IL 60068 Phone: 847-699-9757 |