HEARTLAND INTERNATIONAL HEALTH CENTER (NPI# 1932366408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932366408 |
| Entity Type | Organization |
| Organization Name | HEARTLAND INTERNATIONAL HEALTH CENTER |
| Other Organization Name | SENN HIGH SCHOOL HEALTH CENTER |
| Practice Address |
5900 N Glenwood Ave Chicago IL 60660-3312 |
| Mailing Address |
3048 North Wilton Avenue 2nd Floor Chicago IL 60657-6740 |
| Practice Telephone | 7737511860 |
| Practice Fax Number | 7739898345 |
| Mailing Telephone | 7732967544 |
| Mailing Fax Number | 7732967637 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | MRS. GWENN RAUSCH (CEO) |
| Authorized Official Telephone | 7732967587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
113310 | IL | Dental Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DORAL DENTAL | 113310 | 01 |
| Other Name | Type Code |
|---|---|
| Senn High School Health Center | Doing Business As Name - 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 |
| 1407088693 | Heartland International Health Center | Clinic/Center | 4701 N Winthrop Ave, Chicago, IL 60640-5033 | 2009-08-20 |
| 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 |
| 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 |
5900 N GLENWOOD AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60660-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336445311 | Janay Ranelle Joyce | Social Worker | 5900 N Glenwood Ave, Chicago, IL 60660-3312 | 2011-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225672280 | Alexis Shelton | Behavior Technician | 6317 N Broadway, Chicago, IL 60660 | 2019-11-03 |
| 1912470105 | Pipeline - Lakefront Medical Associates, LLC | Family Medicine | 6201 North Broadway, Chicago, IL 60660 | 2019-01-10 |
| 1417492224 | Aynur Fataliyeva | Non-emergency Medical Transport (VAN) | 5701 N Sheridan Road, Apt 20g, Chicago, IL 60660 | 2017-01-03 |
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| 1144609181 | Ebm Consulting LLC | Anesthesiology | 5600 N Sheridan Road, #115, Chicago, IL 60660 | 2015-05-22 |
| 1295134112 | Brent E Agran, Dds, LLC | Dentist | 5820 N. Clark St., 1s, Chicago, IL 60660 | 2014-08-15 |
| 1538573258 | Emily Eaton | Student in an Organized Health Care Education/Training Program | 5643 N. Magnolia Ave, Chicago, IL 60660 | 2014-06-20 |
| 1538572664 | Rozina Altaf Virani | Nurse Practitioner | 6033 N Sheridan Rd Ste N6, Chicago, IL 60660 | 2014-06-05 |
| 1548673866 | Emily Mckernan | Social Worker | 5710 N Broadway Ave, Chicago, IL 60660 | 2014-06-04 |
| 1679902324 | Christopher Burgess | Psychologist | 1554 W Hollywood, #storefront, Chicago, IL 60660 | 2013-11-04 |
| Find all providers in zip 60660 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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.