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Organization

HEARTLAND INTERNATIONAL HEALTH CENTER

Active
Other names
Heartland Health Center - Clark
Organization subpart
No

Provider details

NPI number
Authorized official
GWENN RAUSCH (EXECUTIVE DIRECTOR)
(773) 296-7589
Entity
Organization

Contact information

Practice address
4740 N CLARK ST, CHICAGO, IL 60640-4689
(773) 751-1700
Mailing address
3048 N WILTON AVE, 2ND FLOOR, CHICAGO, IL 60657-6710
(773) 296-7544

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027796
IL

Other

Enumeration date
06/15/2010
Last updated
06/15/2010
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