Healthcare Provider Details

I. General information

NPI: 1518998004
Provider Name (Legal Business Name): HEARTLAND MEDICAL PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 N HUNT CLUB RD 202
GURNEE IL
60031-2603
US

IV. Provider business mailing address

1445 NORTH HUNT CLUB ROAD 202
GURNEE IL
60031
US

V. Phone/Fax

Practice location:
  • Phone: 847-856-0030
  • Fax: 847-856-0033
Mailing address:
  • Phone: 847-856-0030
  • Fax: 847-856-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN AFFINITO
Title or Position: PHYSICIAN
Credential:
Phone: 847-856-0030