DR. MICHAELLA RADICH HEITZLER DMD
NPI 1811300437
Dentist - Pediatric Dentistry in Chicago, IL

Q: What is Michaella Heitzler's NPI number?

The NPI number for Michaella Heitzler is 1811300437. It was assigned to this individual provider in the NPPES registry on June 11, 2014. The provider is also known as Keta Radich.

Q: What is Michaella Heitzler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since June 11, 2014

1611 N. WOLCOTT AVE, CHICAGO, IL 60622(312) 281-4860 Get Directions Write a Review

NPPES record last updated: September 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Michaella Radich Heitzler Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAELLA RADICH HEITZLER DMD (NPI 1811300437) is an individual pediatric dentistry provider in Chicago, Illinois, licensed in Illinois (019.029719) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1811300437

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. MICHAELLA RADICH HEITZLERCredential: DMD

Location Address1611 N. WOLCOTT AVEChicago, IL 60622

Mailing Address1611 N. Wolcott AveChicago, IL 60622 · (312) 281-4860

Phone(312) 281-4860

Sole ProprietorYes

Enumeration DateJune 11, 2014

Last NPPES UpdateSeptember 13, 2016

✔ NPI 1811300437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IL · 019.029719

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1611 N. WOLCOTT AVE, Chicago, IL 60622

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Other Names 1

Other Name (5)Keta Radich

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michaella Heitzler's NPI number?

The NPI number for Michaella Heitzler is 1811300437. It was assigned to this individual provider in the NPPES registry on June 11, 2014. The provider is also known as Keta Radich.

Where is Michaella Heitzler located?

Michaella Heitzler practices at 1611 N. Wolcott Ave, Chicago, IL 60622. The listed phone number is (312) 281-4860.

What is Michaella Heitzler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Michaella Heitzler was last updated on September 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.