Healthcare Provider Details

I. General information

NPI: 1063822823
Provider Name (Legal Business Name): HEURISTIC QUEST HEADQUARTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 W. 95TH ST
CHICAGO IL
60643-1408
US

IV. Provider business mailing address

1708 W BEVERLY GLEN PKWY
CHICAGO IL
60643-1408
US

V. Phone/Fax

Practice location:
  • Phone: 773-238-5555
  • Fax: 773-238-5533
Mailing address:
  • Phone: 773-238-5555
  • Fax: 773-238-5533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAULETTE R. EASON-WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential: LCPC CADC
Phone: 773-238-5555