| Heartland Health Centers | |
|
1300 W Devon Ave Chicago IL 60660-1302 | |
| (773) 296-7544 | |
| (773) 296-7637 |
| Full Name | Heartland Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 W Devon Ave, Chicago, Illinois |
| Authorized Official Name and Position | Nicole Willis (CEO) |
| Authorized Official Contact | 7737517800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Health Centers 1301 W Devon Ave Chicago IL 60660-1329 Ph: (773) 751-7800 | Heartland Health Centers 1300 W Devon Ave Chicago IL 60660-1302 Ph: (773) 296-7544 |
| NPI Number | 1609289883 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Medicare PECOS PAC ID | 2466353305 |
|---|---|
| Medicare Enrollment ID | O20140821000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609289883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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