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Organization
HEARTLAND ALLIANCE HEALTH
Active
Organization
HEARTLAND ALLIANCE HEALTH
Active
Other names
Chicago Health Outreach, Heartland Health Outreach
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD STELLON (EXECUTIVE DIRECTOR)
(773) 751-4129
Entity
Organization
Contact information
Practice address
4730 N WINTHROP, CHICAGO, IL 60640-7528
(773) 506-1548
(773) 506-1573
Mailing address
4750 N SHERIDAN RD STE 449, CHICAGO, IL 60640-5078
(773) 751-4129
(773) 751-4175
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
021
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021
—
IL
Enumeration date
06/20/2008
Last updated
04/27/2020
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