Organization
HEARTLAND ALLIANCE HEALTH
Active
Organization
HEARTLAND ALLIANCE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY VALENTIN (SR. DIR HEALTH INFORMATION SYSTEMS)
(773) 751-4129
Entity
Organization
Contact information
Practice address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
(773) 275-2586
(773) 275-3689
Mailing address
4750 N SHERIDAN RD STE 449, CHICAGO, IL 60640-5078
(773) 751-4129
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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