Organization
HERITAGE HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DACY (EXECUTIVE DIRECTOR)
(847) 208-7620
Entity
Organization
Contact information
Practice address
4356 N KENMORE AVE, APT 101, CHICAGO, IL 60613-1330
(312) 550-3612
Mailing address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(888) 348-6773
(888) 389-9031
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
6
IL
Other
Enumeration date
09/21/2012
Last updated
07/21/2022
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