TAPESTRY 360 HEALTH NPI 1700044039

NPI Information

NPI: 1700044039
Provider Name: TAPESTRY 360 HEALTH

Doing Business As: HEARTLAND HEALTH CENTERS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3436 WEST WILSON AVENUE
CHICAGO, IL
ZIP 60625
Phone: (773) 866-0818
Get Directions

TAPESTRY 360 HEALTH is a federally qualified health center (fqhc) clinic center in Chicago, IL. TAPESTRY 360 HEALTH NPI is 1700044039. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heartland Health Centers.

The provider's business location address is:

3436 WEST WILSON AVENUE
CHICAGO, IL
ZIP 60625-318
Phone: (773) 866-0818
Fax: (773) 866-9069

The provider's authorized official is Nicole Willis .
The authorized official title is Ceo and has the following contact phone number (773) 751-7800.

The enumeration date for this NPI number is 5/22/2008 and was last updated on 10/4/2023.

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	363LC1500X	Nurse Practitioner	Community Health	004	ILLINOIS	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004	MEDICAID	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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