Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEIDI CHRISTINE MEMMEL MITIDIERO, MD
ActiveDR. HEIDI CHRISTINE MEMMEL MITIDIERO, MD is a General Surgery healthcare provider located in LAKE FOREST, Illinois. NPI 1184679193 is currently active in the NPPES registry. Verify at CMS.
General Surgery · LAKE FOREST, IL
Registration Details
- NPI Number
- 1184679193
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2006 (20.233273096496 yrs)
- Last Updated
- Aug 11, 2023
- Licenses
-
36107710 (IL)036107710 (IL)
Practice Information
- Address
-
1000 N WESTMORELAND RDLAKE FOREST, IL, 600451658Browse IL providers · Browse ZIP 60045
- Phone
- 8475822134
- Fax
- 8475357285
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in LAKE FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| STEPHEN W GANSHIRT | M.D. | 1245200757 |
| KIM R SOBINSKY | M.D. | 1447220942 |
| JAMES D FRYDMAN | MD | 1104881218 |
| DANIEL GUILLERMO DAVILA | M.D. | 1558637124 |
| DR. ROBERT A RYAN | M.D. | 1437491396 |
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.