Healthcare Provider Details

I. General information

NPI: 1912824665
Provider Name (Legal Business Name): HERITAGE MED SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 WARRENVILLE RD STE 270
LISLE IL
60532-1000
US

IV. Provider business mailing address

3030 WARRENVILLE RD STE 270
LISLE IL
60532-1000
US

V. Phone/Fax

Practice location:
  • Phone: 312-395-7290
  • Fax: 312-395-7290
Mailing address:
  • Phone: 312-395-7290
  • Fax: 312-395-7290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IBRAHIM SYED
Title or Position: OWNER
Credential:
Phone: 312-395-7290