HEARTLAND HEALTH OUTREACH (NPI# 1881860245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881860245 |
| Entity Type | Organization |
| Organization Name | HEARTLAND HEALTH OUTREACH |
| Other Organization Name | SPANG NORTH DENTAL |
| Practice Address |
845 W Wilson Ave Chicago IL 60640-5704 |
| Mailing Address |
4750 N Sheridan Rd Suite 434 Chicago IL 60640-7528 |
| Practice Telephone | 7737287264 |
| Mailing Telephone | 7737511704 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | HEIDI NELSON (CONTROLLER) |
| Authorized Official Telephone | 7737514107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
=========014 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DORAL DENTAL | 103349 | 01 |
| Other Name | Type Code |
|---|---|
| Spang North Dental | Other Name - Individual/Organization |
| 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 |
| 1053534784 | Heartland Health Outreach | Clinic/Center | 1015 W Lawrence Ave, Chicago, IL 60640-5017 | 2007-04-11 |
| Street Address |
845 W WILSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699791400 | Corinne M. Blum | Family Medicine | 845 W Wilson Ave, Chicago, IL 60640-5704 | 2006-07-14 |
| 1033766886 | Michelle Nucup | Counselor | 845 W Wilson Ave, Chicago, IL 60640-8090 | 2019-08-26 |
| 1881102457 | Diana Fabian | Nurse Practitioner | 845 W Wilson Ave, Chicago, IL 60640 | 2018-01-17 |
| 1417311374 | Michelle Quynh Dao Phan | Pediatrics | 845 W Wilson Ave, Chicago, IL 60640-8090 | 2016-04-07 |
| 1750746152 | Laquisha Carroll | Nurse Practitioner | 845 W Wilson Ave, Chicago, IL 60640-8090 | 2015-12-30 |
| 1730578964 | Darcie Mcdonaugh | Nurse Practitioner | 845 W Wilson Ave, Chicago, IL 60640-8090 | 2015-01-12 |
| 1598172009 | Meghan Elizabeth Baldwin | Nurse Practitioner | 845 W Wilson Ave, Chicago, IL 60640-8090 | 2014-07-16 |
| 1992133607 | Christina Marie Brakebill | Nurse Practitioner | 845 W Wilson Ave, Chicago, IL 60640-8090 | 2013-10-16 |
| 1679868996 | Jane Anichini | Registered Nurse | 845 W Wilson Ave, Attn: Credentialing Dpt, Chicago, IL 60640-8090 | 2011-06-15 |
| 1568778991 | Carla Andrea Grossoli | Pediatrics | 845 W Wilson Ave, Chicago, IL 60640-8090 | 2010-08-23 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
| 1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
| 1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
| 1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
| 1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
| 1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
| 1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
| 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.