HEAD HEART THERAPY


Address: 4809 N Ravenswood Ave Unit 227, Chicago, IL 60640-4417
Phone: 7738921933

HEAD HEART THERAPY (NPI# 1619453610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619453610
Entity Type Organization
Organization Name HEAD HEART THERAPY
Practice Address 4809 N Ravenswood Ave Unit 227
Chicago
IL 60640-4417
Mailing Address 3759 N Ravenswood Ave Ste 133
Chicago
IL 60613-3997
Practice Telephone 7738921933
Mailing Telephone 7738921933
Enumeration Date 2018-07-13
Last Update Date 2018-07-13
Authorized Official Name GINA BRUNO (FINANCIAL SERVICES)
Authorized Official Telephone 7135914311
Is Organization Subpart Y
Parent Organization Name HEAD HEART THERAPY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility A-8942-0002-A IL Residential Treatment Facilities
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
A-8942-0002-A IL Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720407679 Head Heart Therapy Social Worker 3759 N Ravenswood, 133, Chicago, IL 60613-3997 2014-04-08

Office Location

Street Address 4809 N RAVENSWOOD AVE UNIT 227
City CHICAGO
State IL
Zip Code 60640-4417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457906521 Mathew Diedrich Social Worker 4809 N Ravenswood Ave Unit 227, Chicago, IL 60640-4417 2019-08-06

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144852260 Vincent Wallace Clinic/Center 226 W Ontario St, Chicago, IL 60654-3619 2020-02-06
1053957993 Safer Foundation Clinic/Center 769 W Jackson, Unit G, Chicago, IL 60661 2019-11-26
1255977195 Safer Foundation Clinic/Center 6352 W Grand Ave, Chicago, IL 60639-2650 2019-11-26
1063068492 The Threshold Clinic/Center 3015 W Harrison St, Chicago, IL 60612 2019-08-12
1790338150 Solleys House Clinic/Center 4163 S Archer Ave, Chicago, IL 60632-1870 2019-07-24
1366925489 Lurie Children's Adolescent Substance Abuse and Prevention Progarm Clinic/Center 1440 N Dayton St, Chicago, IL 60642-2644 2018-09-13
1710482815 Gateway Foundation, Inc. Clinic/Center 415 N Dearborn St Ste 510, Chicago, IL 60654-4626 2018-03-29
1366957292 Maryville Academy Clinic/Center 1510 N Claremont Ave, Chicago, IL 60622-1710 2017-12-14
1053836395 Aunt Martha's Health and Wellness, Inc. Clinic/Center 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 2017-08-08
1437679255 Sixto Garcia Clinic/Center 1100 W. Cermak Rd, Chicago, IL 60608 2017-06-22
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Competitor

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City CHICAGO
Zip Code 60640

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Dataset Information

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.

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