Organization
HEARTLAND ALLIANCE HEALTH
Active
Other names
Heartland Health Outreach, Inc., CHICAGO HEALTH OUTREACH
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY VALENTIN (SR. DIRECTOR, HEALTH INFORMATION SY)
(773) 220-8562
Entity
Organization
Contact information
Practice address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
(773) 275-2586
(773) 751-4175
Mailing address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
(773) 275-2586
(773) 751-4175
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
IL
251S00000X
Community/Behavioral Health Agency
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IL
Other
Enumeration date
02/22/2007
Last updated
04/01/2024
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