HEARTLAND INTERNATIONAL HEALTH CENTER NPI 1871763375

NPI Information

NPI: 1871763375
Provider Name: HEARTLAND INTERNATIONAL HEALTH CENTER

Other Name: HEARTLAND HEALTH CENTER ROGERS PARK

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2200 W TOUHY AVE
2ND FLOOR
CHICAGO, IL
ZIP 60645
Phone: (773) 751-1875
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HEARTLAND INTERNATIONAL HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. HEARTLAND INTERNATIONAL HEALTH CENTER NPI is 1871763375. The provider is registered as an organization entity type.
The provider Other Name Is Heartland Health Center Rogers Park.

The provider's business location address is:

2200 W TOUHY AVE
2ND FLOOR
CHICAGO, IL
ZIP 60645-412
Phone: (773) 751-1875

The provider's authorized official is Bechara Choucair .
The authorized official title is Executive Director and has the following contact phone number (773) 751-1782.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 6/5/2008.

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	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	141000	MEDICARE OSCAR/CERTIFICATION	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: 11/14/2023

NPI Synchronization or Removal

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