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HEARTLAND INTERNATIONAL HEALTH CENTER NPI 1932366408


NPI Information

NPI: 1932366408
Provider Name: HEARTLAND INTERNATIONAL HEALTH CENTER

Doing Business As: SENN HIGH SCHOOL HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
5900 N GLENWOOD AVE
CHICAGO, IL
ZIP 60660
Phone: (773) 751-1860
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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 1932366408. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Senn High School Health Center.

The provider's business location address is:

5900 N GLENWOOD AVE
CHICAGO, IL
ZIP 60660-312
Phone: (773) 751-1860
Fax: (773) 989-8345

The provider's authorized official is Gwenn Rausch .
The authorized official title is Ceo and has the following contact phone number (773) 296-7587.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 12/5/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice113310ILLINOISNo
2261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1113310OTHERILLINOISDORAL DENTAL

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.