| Therese Marie Heenan, DO | |
|
23120 N Lagrange Rd, Frankfort, IL 60423-7760 | |
| (815) 464-5440 | |
| (815) 936-5404 |
| Full Name | Therese Marie Heenan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 23120 N Lagrange Rd, Frankfort, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467668285 | NPI | - | NPPES |
| 81500295 | Other | IL | MEDICAID |
| 000000688021 | Other | IN | ANTHEM |
| 9681438 | Other | IN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036120470 (Illinois) | Primary |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Therese Marie Heenan, DO 23120 N Lagrange Rd, Frankfort, IL 60423-7760 Ph: (815) 464-5440 | Therese Marie Heenan, DO 23120 N Lagrange Rd, Frankfort, IL 60423-7760 Ph: (815) 464-5440 |
Dr. Niby Mathew, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23120 S Lagrange Rd, Frankfort, IL 60423 Phone: 815-464-5440 | |
Samantha Jain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21160 S La Grange Rd, Frankfort, IL 60423 Phone: 815-469-8806 | |
Tahreer Shatat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23120 S Lagrange Rd, Frankfort, IL 60423 Phone: 815-464-5440 Fax: 815-936-5404 | |
Eric Linden Lee Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19552 S Harlem Ave, Building D, Frankfort, IL 60423 Phone: 815-469-3452 | |
Dr. Rosario Teano De Castro, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 558 Aberdeen Rd, Frankfort, IL 60423 Phone: 815-469-2611 Fax: 815-469-2611 | |
Nadir Mallick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20180 S Lagrange Rd, Frankfort, IL 60423 Phone: 815-464-2010 Fax: 815-464-2181 | |
Mrs. Titilayo Colette Abiona, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20180 S Lagrange Rd, Frankfort, IL 60423 Phone: 815-464-2010 Fax: 815-464-2181 |