Organization
HEARTLAND HEALTH OUTREACH, INC
Active
Other names
Heartland Alliance Health
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY VALENTIN (DIRECTOR, HIS-B)
(773) 751-4129
Entity
Organization
Contact information
Practice address
1015 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(773) 275-2586
(773) 751-4175
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
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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