MEDICARE: HEURISTIC HEALING INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	261QF0400X	Federally Qualified Health Center (FQHC)
4	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1922408889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEURISTIC HEALING INC.

Provider Business Mailing Address
First Line	:	1708 W. BEVERLY GLEN PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643
Country	:	US
Telephone Number	:	773-238-5555
Fax Number	:	773-238-5533

Provider Business Practice Location Address
First Line	:	1222 W. 95TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643
Country	:	US
Telephone Number	:	773-238-5555
Fax Number	:	773-238-5533

Authorized Official
Title or Position	:	EXEC OFFICE ASST
Name	:	MR. BASIL J MCCARTY
Credential	:
Telephone Number	:	773-238-5555

Provider Enumeration Date	:	08/28/2014
Last Update Date	:	02/15/2026

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