Organization
HEARTLAND HUMAN CARE SERVICES I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DINAUER LCSW (DIRECTOR)
(773) 571-4000
Entity
Organization
Contact information
Practice address
4411 N RAVENSWOOD AVE, CHICAGO, IL 60640-5802
(773) 275-4960
(773) 275-4965
Mailing address
4411 N RAVENSWOOD AVE, CHICAGO, IL 60640-5802
(773) 275-4960
(773) 275-4965
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
17459
IL
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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