Organization
HEARTLAND HEALTH OUTREACH INC
Active
Other names
Chicago Health Outreach Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA MORALES (SR DIRECTOR OF ISB)
(773) 751-1731
Entity
Organization
Contact information
Practice address
1015 W LAWRENCE AVE FL 2, CHICAGO, IL 60640-5017
(773) 275-3689
Mailing address
1015 W LAWRENCE AVE FL 2, CHICAGO, IL 60640-5017
(773) 275-3689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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