Organization
TAPESTRY 360 HEALTH
Active
Other names
Tapestry 360 Health - C4 Broadway, Heartland Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WILLIS (CEO)
(773) 751-7800
Entity
Organization
Contact information
Practice address
5710 N BROADWAY ST, CHICAGO, IL 60660-4302
(773) 751-7800
(773) 765-0401
Mailing address
1301 W DEVON AVE, CHICAGO, IL 60660-1329
(773) 751-7800
(773) 437-8004
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
10/03/2023
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