# HEARTLAND MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1912927351
- **Authorized official:** BENEDICTA UMORU MD (PHYSICIAN)
- **Authorized official phone:** (618) 416-9005

## Contact information

- **Practice address:** 5032 N ILLINOIS ST, SUITE B, FAIRVIEW HEIGHTS, IL 62208-3415
- **Practice address phone:** (618) 416-9005
- **Practice address fax:** (618) 641-9452
- **Mailing address:** PO BOX 2015, FAIRVIEW HEIGHTS, IL 62208-0215
- **Mailing address phone:** (618) 355-9970
- **Mailing address fax:** (618) 355-9972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036100162 | IL | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 05/13/2016