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

Joshua Heacock

Individual provider Surgical Assistant · NPI 1689291502

Joshua Heacock is a Surgical Assistant in Tinley Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

16255 Harlem Ave
Tinley Park, IL 60477-1615
Phone: (708) 599-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 238000678 (IL)

Record details

NPI number1689291502
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2020
Last updated in NPPESJune 26, 2020
Certification dateJune 26, 2020
Mailing address16255 Harlem Ave, Tinley Park, IL 60477-1615

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