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Contact Information

HEATHER EISELE, PhD
8170 MCCORMICK BLVD
SUITE 204
SKOKIE, IL60076-2961
 Phone: 847-673-0718
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HEATHER EISELE · (Female)

NPI Number 1376843284
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/25/2010
Last updated 09/16/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071.007975
  • IL License # 071007975
  • IL Other 071007975 LICENSE
Hospital affiliation(s)
  • UNIVERSITY OF ILLINOIS HOSPITAL - (Acute Care)
    1740 WEST TAYLOR ST SUITE 1400
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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