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Organization

HEARTLAND INTERNATIONAL HEALTH CENTER

Active
Other names
Heartland Health Center-Christopher House
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BECHARA CHOUCAIR M.D. (EXECUTIVE/MEDICAL DIRECTOR)
(773) 751-1700
Entity
Organization

Contact information

Practice address
4701 N WINTHROP AVE, CHICAGO, IL 60640-5033
(773) 275-1680
(773) 275-1681
Mailing address
4750 N SHERIDAN RD, CHICAGO, IL 60640-7528
(774) 751-1700
(773) 275-3689

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
IL

Other

Enumeration date
08/20/2009
Last updated
08/20/2009
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