# HEART OF HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619656832
- **Authorized official:** JACK M PHAM DNP, APRNFPA, FNP-BC (PRESIDENT)
- **Authorized official phone:** (773) 455-4325

## Contact information

- **Practice address:** 4947 N WINTHROP, MEDICAL CENTER FLR 1, CHICAGO, IL 60640
- **Practice address phone:** (773) 455-4325
- **Practice address fax:** (773) 838-0902
- **Mailing address:** 7709 NILES CENTER RD, SKOKIE, IL 60077-2768
- **Mailing address phone:** (773) 455-4325
- **Mailing address fax:** (773) 838-0902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/14/2023
- **Last updated:** 09/20/2026