Individual provider · Type 1 NPI

Sue Ann Heironimus

Physician Assistant · Chicago, IL

NPI number 1790308161 Active

Practice location

3134 N Clark St
Chicago, IL 60657-4414

Call (312) 766-4949 Map

Mailing address

PO Box 776351
Chicago, IL 60677-6351

Other practice locations

  • 2355 Poplar Level Rd Ste G1, Louisville, KY 40217-1367 · (502) 636-7242

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085008543 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1790308161

Sue Ann Heironimus's National Provider Identifier is 1790308161, issued on May 20, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 11, 2026.