# HEARTLAND MEMORIAL HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Illiana Surgery and Medical Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023017423
- **Authorized official:** MR. JEFFREY YESSENOW M.D. (CEO)
- **Authorized official phone:** (219) 922-4200

## Contact information

- **Practice address:** 315 W 89TH AVE, MERRILLVILLE, IN 46410-6254
- **Practice address phone:** (219) 757-5275
- **Practice address fax:** (219) 757-5290
- **Mailing address:** 701 SUPERIOR AVE, MUNSTER, IN 46321-4037
- **Mailing address phone:** (219) 922-4200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IN | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 08/22/2020