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Organization
HEARTLAND ALLIANCE HEALTH
Active
Organization
HEARTLAND ALLIANCE HEALTH
Active
Other names
Chicago Health Outreach, Heartland Health Outreach, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD STELLON (EXECUTIVE DIRECTOR)
(312) 405-0802
Entity
Organization
Contact information
Practice address
4750 N SHERIDAN ROAD, SUITE 500, CHICAGO, IL 60640-5095
(773) 751-4125
(773) 751-4174
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
020
IL
251S00000X
Community/Behavioral Health Agency
20
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
020
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020
—
IL
Enumeration date
06/20/2008
Last updated
04/27/2020
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