Heartland Human Care Services I

NPI 1477761344 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1477761344
Enumeration Date 05/21/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN JOHN
Position DIRECTOR
Phone (773) 275-4960
Fax (773) 275-4965
Practice Location
4411 N RAVENSWOOD AVE
CHICAGO IL, 60640-5802, US
Phone (773) 275-4960
Fax (773) 275-4965
Business Location
4411 N RAVENSWOOD AVE
CHICAGO IL, 60640-5802, US
Phone (773) 275-4960
Fax (773) 275-4965
Toxanomy
Taxonomy Code 324500000X
License State Illinois
License Number 17459
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According to our database, Heartland Human Care Services I NPI is 1477761344, taxonomy code is 324500000X and license number is 17459, license state is located at Illinois. Heartland Human Care Services I physically located at 4411 N Ravenswood Ave, Chicago IL, 60640-5802. NPI Number 1033115704 has the healthcare provider type.

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1477761344 NPI number is provided on an as is basis without warranty of any kind. 1477761344 is maintained by the National Plan & Provider Enumeration System. The contents of Heartland Human Care Services I are for informational purposes only.