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NPI Code Detail

MEDICARE: HEARTLAND HUMAN CARE SERVICES

MEDICARE: HEARTLAND HUMAN CARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyA24530003AIL

General Provider Information

NPI Number : 1437327681
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTLAND HUMAN CARE SERVICES
Provider Business Mailing Address
First Line : 208 S LASALLE ST
Second Line : SUITE 1818
City : CHICAGO
State : IL
Zip : 60604-1000
Country : US
Telephone Number : 312-660-1341
Fax Number : 773-728-6929
Provider Business Practice Location Address
First Line : 4411 N RAVENSWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5802
Country : US
Telephone Number : 773-728-5960
Fax Number : 773-728-6929
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JOE ANTOLIN
Credential :
Telephone Number : 312-660-1341
Provider Enumeration Date : 02/11/2008
Last Update Date : 02/11/2008

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Directions to “HEARTLAND HUMAN CARE SERVICES ” Practice Location

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