Dr. Carolyn Roberta Heron , MD

Physician • Chicago, IL

Deactivated NPI 1649302332 Deactivated in NPPES Female Practitioner

Practice location in NPPES

1255 W Westgate Ter
Chicago, IL 606073306

Phone: 3128106663

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of July 06, 2023; the reason is not published. The records below are historical. They do not show whether Dr. Carolyn Heron currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date March 09, 2007

NPI Deactivation Date July 06, 2023

NPI Active Period 2007 – 2023

Practice Location & Contact Primary Location

Practice Address

1255 W Westgate Ter

Chicago, IL 606073306

Telephone 3128106663

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Chicago and Illinois

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Rehabilitation Hospital Primary Specialty

NUCC Taxonomy Code: 283X00000X

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated July 06, 2023

NPPES lists this NPI as deactivated as of July 06, 2023; the reason is not published.

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 08, 2007

Registered at 1255 W WESTGATE TER, CHICAGO, IL 606073306 (Tel: 3128106663)

📍

Business Mailing Address (Initial Record) July 08, 2007

Registered at 1255 W WESTGATE TER, CHICAGO, IL 606073306 (Tel: 3128106663)

👤

Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as CAROLYN HERON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Rehabilitation Hospital

🟢

Initial NPI Registration & Enumeration March 09, 2007

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1649302332

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 09, 2007

Last Update: July 08, 2007

Deactivation Date: July 06, 2023

Update or Correct Profile

Mailing Address

1255 W Westgate Ter

Chicago, IL 606073306

Phone: 3128106663

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.