Search › Illinois › 103K00000X
Heide Medina, MA BCBA
NPI 1780170373 · on the registry since 2018
Practice
- Address
- 6930 Roosevelt Rd
Oak Park, IL 60304 - Phone
- (708) 358-3000
- Clinicians at this address
- 198
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois