Organization · Type 2 NPI

Tapestry 360 Health

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1154640274 Active

Practice location

3244 W Ainslie St
Chicago, IL 60625-5018

Call (773) 296-7589 Map

Mailing address

1301 W Devon Ave
Chicago, IL 60660-1329

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	019027796 (IL)
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Amanda L. Hyslop, APNNurse Practitioner Chicago, IL NPI 1770888323

Other federally qualified health center (fqhc) providers in Chicago

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NPI record

NPI: 1154640274
Entity type: Organization (Type 2)
Issued: May 28, 2010
Last updated: Oct 20, 2023
Status: Active

Other names

<unavail>
Heartland Health Centers · doing business as
Tapestry 360 Health - Hibbard Elementary · other name

Authorized official

Nicole Willis
CEO
(773) 751-7800

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154640274

Tapestry 360 Health's National Provider Identifier is 1154640274, issued on May 28, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chicago, IL. The record was last updated on Oct 20, 2023.