Jean-Rafael R. Heiz-Neri | Chicago, IL • PECOS Search

Jean-Rafael R. Heiz-Neri

Acupuncturist

Other Service Providers

1208 W Granville Ave, Chicago, IL 60660-1905

PECOS Enrollment

Based on the most recent information from CMS, provider Jean-Rafael R. Heiz-Neri does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1376054544
Provider Type
Individual
Full Name
Heiz-Neri, Jean-Rafael R.
Title
Dr.
Credential
PHD, LAC, MSOM, BS

Gender
Male
Sole Proprietor
No
Enumeration Date
10/16/2017
Last Updated
10/16/2017

Contact Information

Practice Location

1208 W Granville Ave, Chicago, IL 60660-1905

Unlisted Fax

Mailing Location

1208 W Granville Ave, Chicago, IL 60660-1905

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License 198.001194 Illinois