Heartland International Health Center

NPI 1083008585 - Clinic/Center - 261QF0400X

NPI Details
NPI 1083008585
Enumeration Date 03/23/2015
Last Updated 03/23/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GWENN GWENN
Position CEO
Phone (773) 274-7355
Fax
Practice Location
9800 LAWLER AVE
SKOKIE IL, 60077-1215, US
Phone (773) 274-7355
Fax
Business Location
3048 N WILTON AVE
2ND FLOOR
CHICAGO IL, 60657-6710, US
Phone (773) 296-7544
Fax (773) 296-7637
Toxanomy
Taxonomy Code 261QF0400X
License State
License Number
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According to our database, Heartland International Health Center NPI is 1083008585, taxonomy code is 261QF0400X Heartland International Health Center physically located at 9800 Lawler Ave, Skokie IL, 60077-1215. NPI Number 1033115704 has the healthcare provider type.

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1083008585 NPI number is provided on an as is basis without warranty of any kind. 1083008585 is maintained by the National Plan & Provider Enumeration System. The contents of Heartland International Health Center are for informational purposes only.