Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HEATHER SUE ILLG, RD LD
ActiveMRS. HEATHER SUE ILLG, RD LD is a 136A00000X healthcare provider located in URBANDALE, Iowa. NPI 1952704504 is currently active in the NPPES registry. Verify at CMS.
136A00000X · URBANDALE, IA
Registration Details
- NPI Number
- 1952704504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2014 (11.856484340517 yrs)
- Last Updated
- Sep 26, 2014
- License
-
01342 (IA)
Practice Information
- Address
-
8701 DOUGLAS AVEURBANDALE, IA, 503222200Browse IA providers · Browse ZIP 50322
- Phone
- 5152515284
- Fax
- 5152702227
- Primary Specialty
-
136A00000X
136A00000X
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.