HEARTLAND HEALTH OUTREACH NPI 1053534784

NPI Information

NPI: 1053534784
Provider Name: HEARTLAND HEALTH OUTREACH
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1015 W LAWRENCE AVE
CHICAGO, IL
ZIP 60640
Phone: (773) 275-2586
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HEARTLAND HEALTH OUTREACH is a community health clinic center in Chicago, IL. HEARTLAND HEALTH OUTREACH NPI is 1053534784. The provider is registered as an organization entity type.

The provider's business location address is:

1015 W LAWRENCE AVE
CHICAGO, IL
ZIP 60640-017
Phone: (773) 275-2586
Fax: (773) 275-3689

The provider's authorized official is Gwendolyn R Riddell .
The authorized official title is Certifiedd Nurse Midwife and has the following contact phone number (773) 575-2586.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health		ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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