Organization
HEARTLAND INTERNATIONAL HEALTH CENTER
Active
Other names
Heartland Health Center-Clark
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
4740 N CLARK ST, CHICAGO, IL 60640-4689
(773) 751-1700
Mailing address
4750 N SHERIDAN RD, #434, CHICAGO, IL 60640-7528
(773) 751-1700
(773) 275-3689
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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