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

Mrs. Heidi Michelle Fuller

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093246951

Mrs. Heidi Michelle Fuller is a Podiatry in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices with Preferred Podiatry Group PC, a 129-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
9
Licensed in
IA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

225 W Washington St Ste 1500
Chicago, IL 60606-3485
Phone: (847) 502-4898
Fax: (847) 504-5015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 105141 (IA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093246951
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2017
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Preferred Podiatry Group Pc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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