Organization
TAPESTRY 360 HEALTH
Active
Other names
Heartland Health Centers, Tapestry 360 Health - Uplift Community High Schoo, Heartland Health Center - Uplift
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WILLIS (CEO)
(773) 751-7800
Entity
Organization
Contact information
Practice address
900 W WILSON AVE, CHICAGO, IL 60640-5707
(773) 751-7800
(773) 534-2847
Mailing address
1301 W DEVON AVE, CHICAGO, IL 60660-1329
(773) 751-7800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
10/20/2023
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