Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGEL HEREDIA, MD
ActiveANGEL HEREDIA, MD is a Psychiatric Neurology healthcare provider located in GENEVA, Illinois. NPI 1023181070 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · GENEVA, IL
Registration Details
- NPI Number
- 1023181070
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.773913532278 yrs)
- Last Updated
- Feb 1, 2023
- License
-
036078873 (IL)
Practice Information
- Address
-
1541 E FABYAN PKWY STE 101GENEVA, IL, 601344105Browse IL providers · Browse ZIP 60134
- Phone
- 6308459644
- Fax
- 6308459678
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.