Organization
HEARTLAND HOME INFUSIONS, INC
Active
Other names
HHI
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL M PETRAK MD (MANAGING PARTNER)
(888) 220-6432
Entity
Organization
Contact information
Practice address
901 MCCLINTOCK DR, SUITE 106, BURR RIDGE, IL 60527-0844
(800) 836-1147
(630) 734-4678
Mailing address
901 MCCLINTOCK DR STE 106, BURR RIDGE, IL 60527-0872
(800) 836-1147
(630) 734-4678
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032-*004881
CONTROLLED SUBSTANCE
IL
Enumeration date
09/22/2005
Last updated
03/07/2023
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