HEARTLAND INTERNATIONAL HEALTH CENTER (NPI# 1164751376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164751376 |
| Entity Type | Organization |
| Organization Name | HEARTLAND INTERNATIONAL HEALTH CENTER |
| Other Organization Name | HEARTLAND PEDIATRIC CENTER-LAKEVIEW |
| Practice Address |
3048 N Wilton Ave 2nd Floor Chicago IL 60657-6710 |
| Practice Telephone | 7737514106 |
| Mailing Telephone | 7732967580 |
| Mailing Fax Number | 7732967637 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2010-09-23 |
| Authorized Official Name | MRS. GWENN RAUSCH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7732967589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Heartland Pediatric Center-Lakeview | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1427503861 | Heartland International Health Center | Clinic/Center | 6700 N Greenview Ave, Chicago, IL 60626-4208 | 2016-08-15 |
| 1154640274 | Heartland International Health Center | Dentist | 3244 W Ainslie St, Chicago, IL 60625-5018 | 2010-05-28 |
| 1407088693 | Heartland International Health Center | Clinic/Center | 4701 N Winthrop Ave, Chicago, IL 60640-5033 | 2009-08-20 |
| 1629217161 | Heartland International Health Center | Clinic/Center | 2645 W Lawrence, Chicago, IL 60625-2944 | 2009-02-06 |
| 1700044039 | Heartland International Health Center | Clinic/Center | 3436 West Wilson Avenue, Chicago, IL 60625-5318 | 2008-05-22 |
| 1932366408 | Heartland International Health Center | Dentist | 5900 N Glenwood Ave, Chicago, IL 60660-3312 | 2008-05-21 |
| 1407981392 | Heartland International Health Center | Clinic/Center | 3048 N. Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 | 2007-02-22 |
| 1972088615 | Heartland International Health Center | Case Management | 3048 N Wilton Ave Fl 2, Chicago, IL 60657-6710 | 2018-09-28 |
| 1316424914 | Heartland International Health Center | Clinic/Center | 8320 Skokie Blvd, Skokie, IL 60077-2545 | 2018-07-26 |
| Street Address |
3048 N WILTON AVE 2ND FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407801665 | Catherine Ann Kallal | Internal Medicine | 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 | 2006-05-24 |
| 1114535135 | Jenanne Luse | Registered Nurse | 3048 N Wilton Ave, Chicago, IL 60657-6710 | 2020-07-15 |
| 1568824068 | Julie Eisenberg | Pediatrics | 3048 N Wilton Ave, Chicago, IL 60657 | 2016-03-23 |
| 1528447166 | Karen Wennerberg | Advanced Practice Midwife | 3048 N Wilton Ave, 3rd Floor, Nurse-midwifery Service, Chicago, IL 60657-6710 | 2015-05-28 |
| 1891174983 | Advocate Medical Group | Advanced Practice Midwife | 3048 N Wilton Ave, 3rd Floor, Nurse-midwifery Service, Chicago, IL 60657-6710 | 2015-05-22 |
| 1083040786 | Illinois Masonic Hospital | General Acute Care Hospital | 3048 N Wilton Ave, 3rd Floor, Chicago, IL 60657-6710 | 2013-09-25 |
| 1265726780 | Heartland International Health Center | Clinic/Center | 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 | 2011-06-01 |
| 1114170545 | Linda A. Masini | Nurse Practitioner | 3048 N Wilton Ave, Chicago, IL 60657-6710 | 2008-10-29 |
| 1578712238 | Efren Jason Jaurigue Jorge | Internal Medicine | 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 | 2008-09-17 |
| 1558517714 | Advocate Illinois Masonic Medical Center | Internal Medicine | 3048 N Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 | 2008-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| 1114498540 | Pcc Community Wellness Center | Clinic/Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 |
| 1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1760975304 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 |
| 1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
| 1487193181 | Mile Square Englewood/cook Satellite Health and Wellness Center | Clinic/Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 |
| 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.