Individual provider · Type 1 NPI

Heidi Christine Memmel Mitidiero, MD

Surgery Physician · Lake Forest, IL

NPI number 1184679193 Active

Practice location

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658

Call (847) 582-2134 Map

Fax (847) 535-7285

Other practice locations

  • 1700 Luther Ln, Caldwell Breast Center, Park Ridge, IL 60068-1270 · (847) 723-3100
  • 2701 Patriot Blvd, Glenview, IL 60026-8039 · (847) 582-2134

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X36107710 (IL)
Surgery Physician Primary 208600000X036107710 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

202 other providers at this address

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About NPI 1184679193

Heidi Christine Memmel Mitidiero, MD's National Provider Identifier is 1184679193, issued on May 24, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Lake Forest, IL. The record was last updated on Aug 11, 2023.