HEARTLAND INTERNATIONAL HEALTH CENTER (NPI# 1336626936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336626936 |
| Entity Type | Organization |
| Organization Name | HEARTLAND INTERNATIONAL HEALTH CENTER |
| Other Organization Name | HEARTLAND HEALTH CENTER GALE |
| Practice Address |
1631 W Jonquil Ter Chicago IL 60626-1103 |
| Mailing Address |
3048 N Wilton Ave Fl 2 Chicago IL 60657-6710 |
| Practice Telephone | 7732967544 |
| Practice Fax Number | 7732967637 |
| Mailing Telephone | 7732967544 |
| Mailing Fax Number | 7732967637 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | HUELL LYLE COLLIER (BILLING AND CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7732967544 |
| 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 Health Center Gale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1972955680 | Heartland International Health Center | Clinic/Center | 6631 N Bosworth Ave, Chicago, IL 60626-4223 | 2016-07-06 |
| Street Address |
1631 W JONQUIL TER |
| City | CHICAGO |
| State | IL |
| Zip Code | 60626-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841754512 | Jacqueline Ader | Social Worker | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2019-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116390 | Rebecca Powers | Physical Therapist | 1214 West Loyola Court, Chicago, IL 60626 | 2020-08-25 |
| 1699307918 | Trilogy, Inc. | Clinic/Center | 1763 W. Estes Avenue, Chicago, IL 60626 | 2020-02-05 |
| 1134617236 | Trilogy Inc. | Community/Behavioral Health | 7474 N Paulina St, Chicago, IL 60626 | 2018-04-25 |
| 1891203477 | Natalie Cerda | Specialist/Technologist | 6526 North Winthrop, Chicago, IL 60626 | 2018-01-17 |
| 1841709136 | Jennifer Browse | Speech-Language Pathologist | 7101 N. Greenview, Chicago, IL 60626 | 2017-09-29 |
| 1922526292 | Bill Johnson | Psychologist | 1712 W Estes Avenue Unit 109, Chicago, IL 60626 | 2017-09-06 |
| 1326580333 | Zackary Charles Davis | Specialist/Technologist | 6526 N. Winthrop Avenue, Chicago, IL 60626 | 2016-11-08 |
| 1053772913 | Devon Migues | Counselor | 6710 N Hermitage Ave, 1, Chicago, IL 60626 | 2016-03-18 |
| 1457718124 | Carol L. Marshall | Social Worker | 7231 1/2 N. Sheridan Rd, Chicago, IL 60626 | 2016-01-26 |
| 1972948206 | Donna Darcell Smith | Counselor | 1401 West Jarvis Ave., #2e, Chicago, IL 60626 | 2013-04-30 |
| Find all providers in zip 60626 | ||||
| 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 |
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| 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 |
| 1649718594 | Mile Square Drake Health and Wellness Center | Clinic/Center | 2710 S Dearborn St, Chicago, IL 60616-2684 | 2017-02-10 |
| 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.