Healthcare Provider Details

I. General information

NPI: 1851307532
Provider Name (Legal Business Name): HEARTLAND WOMEN'S HEALTHCARE LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 OFFICE PARK DR
MARION IL
62959-6477
US

IV. Provider business mailing address

3230 VETERANS MEMORIAL DR
MOUNT VERNON IL
62864-5950
US

V. Phone/Fax

Practice location:
  • Phone: 618-997-5266
  • Fax: 618-997-5285
Mailing address:
  • Phone: 618-997-5266
  • Fax: 833-431-2272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J. SCHIFANO
Title or Position: PRESIDENT
Credential: D.O.
Phone: 618-997-5266