HEARTLAND HEALTH OUTREACH (NPI# 1053534784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053534784 |
| Entity Type | Organization |
| Organization Name | HEARTLAND HEALTH OUTREACH |
| Practice Address |
1015 W Lawrence Ave Chicago IL 60640-5017 |
| Mailing Address |
1348 N Artesian Ave Chicago IL 60622-4998 |
| Practice Telephone | 7732752586 |
| Practice Fax Number | 7732753689 |
| Mailing Telephone | 7732276282 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. GWENDOLYN R RIDDELL (CERTIFIEDD NURSE MIDWIFE) |
| Authorized Official Telephone | 7735752586 |
| Authorized Official Credential | CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447417118 | Heartland Health Outreach | Dentist | 2418 W Division St, Chicago, IL 60622-2940 | 2008-05-20 |
| 1720245491 | Heartland Health Outreach | Dentist | 641 W 63rd St, Chicago, IL 60621-2032 | 2008-05-20 |
| 1881860245 | Heartland Health Outreach | Dentist | 845 W Wilson Ave, Chicago, IL 60640-5704 | 2008-05-06 |
| Street Address |
1015 W LAWRENCE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180621 | Mary L Tornabene | Nurse Practitioner | 1015 W Lawrence Ave, 2nd Floor, Chicago, IL 60640-5017 | 2005-08-02 |
| 1447727037 | Heartland Health Outreach, Inc | Case Manager/Care Coordinator | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2018-11-01 |
| 1336656966 | Kristin L Allen | Registered Nurse | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2018-01-04 |
| 1811402183 | Meredith Soyster | Registered Nurse | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2017-12-08 |
| 1003320458 | Elizabeth Murphy | Dietitian, Registered | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2017-11-21 |
| 1700308541 | Janice R Williams | Registered Nurse | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2017-07-13 |
| 1770004186 | Allison Halvorsen | Registered Nurse | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2017-07-06 |
| 1194253922 | Ralph Robinson | Counselor | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2017-05-24 |
| 1518494467 | Matthew Van Etten | Counselor | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2017-05-22 |
| 1467905679 | Ursula Wagner | Social Worker | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2016-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499573 | Nurse Now LLC | Clinic/Center | 2901 S Michigan Ave Apt 406, Chicago, IL 60616-3297 | 2020-05-26 |
| 1316356850 | The Night Ministry | Clinic/Center | 4711 N Ravenswood Ave, Chicago, IL 60640-4407 | 2014-08-08 |
| 1104134915 | Mamanatandathernizampc. | Clinic/Center | 2001 W.69thst., Chicago, IL 60636 | 2010-09-15 |
| 1962664268 | Jil Medical Consultant | Clinic/Center | 5500 S Damen Ave, Chicago, IL 60636-1107 | 2008-06-27 |
| 1447418017 | Health Department | Clinic/Center | 5400 S Hyde Park Blvd Apt D2, Chicago, IL 60615-5852 | 2008-05-29 |
| 1295947430 | Communityhealth | Clinic/Center | 2611 W Chicago Ave, Chicago, IL 60622-4519 | 2007-05-03 |
| 1649399106 | Circle Family Healthcare Network, Inc | Clinic/Center | 115 Parkside, Chicago, IL 60644-3040 | 2007-03-28 |
| 1194819623 | City of Chicago | Clinic/Center | South Lawndale Nhc, 3059 W 26th Street, Chicago, IL 66023 | 2006-10-02 |
| 1194817809 | New Hope Community Service | Clinic/Center | 2011 E 75th St Ste 110, Chicago, IL 60649-3646 | 2006-09-29 |
| 1871595256 | City of Chicago | Clinic/Center | 641 W 63rd St, Chicago, IL 60621-2032 | 2005-08-15 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.