Organization
HEARTLAND ALLIANCE HEALTH
Active
Other names
Heartland Alliance Health - EW SUPR
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY VALENTIN (DIRECTOR, REVENUE CYCLE MANAGEMENT)
(773) 751-4129
Entity
Organization
Contact information
Practice address
5501 S HALSTED ST, CHICAGO, IL 60621-2229
(773) 632-5700
(773) 962-0376
Mailing address
4750 N SHERIDAN RD STE 449, CHICAGO, IL 60640-5078
(773) 751-4129
(773) 751-4175
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
05/12/2022
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