Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Heidi Christine Memmel Mitidiero, MD

Individual provider Surgery Physician · NPI 1184679193

Dr. Heidi Christine Memmel Mitidiero, MD is a General Surgery in Lake Forest, Illinois. Graduated from Northwestern University Feinberg Medical School in 1999, 27 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
27
Trained at
Northwestern University Feinberg Medical School
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone: (847) 582-2134
Fax: (847) 535-7285
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036107710 (IL)
Surgery Physician Taxonomy 208600000X · Licence 36107710 (IL)

Record details

NPI number1184679193
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2006
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesSURGICAL ONCOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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