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Organization

HERITAGE HEALTH CARE SYSTEMS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NAOMI R JENNINGS R.N. (ADMINISTRATOR)
(708) 283-8852
Entity
Organization

Contact information

Practice address
20180 GOVERNORS HWY, SUITE 210, OLYMPIA FIELDS, IL 60461-1027
(708) 283-8255
(708) 481-4847
Mailing address
20180 GOVERNORS HWY, SUITE 210, OLYMPIA FIELDS, IL 60461-1027
(708) 283-8255
(708) 481-4847

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010296
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50298
BLUE CROSS BLUE SHIELD
IL
01
7972570
AETNA
IL
Enumeration date
07/09/2005
Last updated
08/22/2020
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