IndividualActive
Peter Heydemann, M.D.
NPI 1760419311 · Neurology with Special Qualifications in Child Neurology Physician · Chicago, IL
Provider details
- NPI number
- 1760419311
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-051342 (IL)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 3651342 (IL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1725 W Harrison St
#710
Chicago, IL 60612-3841
Phone: (312) 942-4036
Fax: (312) 563-2507
Approximate (ZIP-level) locationGet directions
Mailing address
5731 S Kenwood Ave
Chicago, IL 60637-1718
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.