Organization
HEARTLAND ALLIANCE HEALTH
Active
Other names
Heartland Health Outreach, Inc., Heartland Health Outreach - Englewood
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD STELLON MS (EXECUTIVE DIRECTOR)
(312) 405-0802
Entity
Organization
Contact information
Practice address
5501 S HALSTED ST, CHICAGO, IL 60621-2229
(773) 275-2586
Mailing address
4750 N SHERIDAN RD STE 435, CHICAGO, IL 60640-5078
(773) 751-4129
(773) 751-4175
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
IL
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
10/15/2020
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