HEARTLAND INTERNATIONAL HEALTH CENTER (NPI# 1407088693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407088693 |
| Entity Type | Organization |
| Organization Name | HEARTLAND INTERNATIONAL HEALTH CENTER |
| Other Organization Name | HEARTLAND HEALTH CENTER-CHRISTOPHER HOUSE |
| Practice Address |
4701 N Winthrop Ave Chicago IL 60640-5033 |
| Mailing Address |
4750 N Sheridan Rd Chicago IL 60640-7528 |
| Practice Telephone | 7732751680 |
| Practice Fax Number | 7732751681 |
| Mailing Telephone | 7747511700 |
| Mailing Fax Number | 7732753689 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | DR. BECHARA CHOUCAIR (EXECUTIVE/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7737511700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Heartland Health Center-Christopher House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1427503861 | Heartland International Health Center | Clinic/Center | 6700 N Greenview Ave, Chicago, IL 60626-4208 | 2016-08-15 |
| 1154640274 | Heartland International Health Center | Dentist | 3244 W Ainslie St, Chicago, IL 60625-5018 | 2010-05-28 |
| 1629217161 | Heartland International Health Center | Clinic/Center | 2645 W Lawrence, Chicago, IL 60625-2944 | 2009-02-06 |
| 1700044039 | Heartland International Health Center | Clinic/Center | 3436 West Wilson Avenue, Chicago, IL 60625-5318 | 2008-05-22 |
| 1932366408 | Heartland International Health Center | Dentist | 5900 N Glenwood Ave, Chicago, IL 60660-3312 | 2008-05-21 |
| 1407981392 | Heartland International Health Center | Clinic/Center | 3048 N. Wilton Ave, 2nd Floor, Chicago, IL 60657-6710 | 2007-02-22 |
| 1972088615 | Heartland International Health Center | Case Management | 3048 N Wilton Ave Fl 2, Chicago, IL 60657-6710 | 2018-09-28 |
| 1316424914 | Heartland International Health Center | Clinic/Center | 8320 Skokie Blvd, Skokie, IL 60077-2545 | 2018-07-26 |
| 1972955680 | Heartland International Health Center | Clinic/Center | 6631 N Bosworth Ave, Chicago, IL 60626-4223 | 2016-07-06 |
| Street Address |
4701 N WINTHROP AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| 1114498540 | Pcc Community Wellness Center | Clinic/Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 |
| 1427523125 | Howard Brown Health Center | Clinic/Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 |
| 1336626936 | Heartland International Health Center | Clinic/Center | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 |
| 1760975304 | Inner-city Muslim Action Network | Clinic/Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 |
| 1417473851 | Howard Brown Health Center | Clinic/Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 |
| 1487193181 | Mile Square Englewood/cook Satellite Health and Wellness Center | Clinic/Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.