Organization · Type 2 NPI
Heritage Healthcare Group LLC
Health Service Clinic/Center · Chicago, IL
NPI number
1386995058
Active
Practice location
4356 N Kenmore Ave, Apt 101
Chicago, IL 60613-1330
Mailing address
316 N Milwaukee St, Suite 208
Milwaukee, WI 53202-5885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 6 (IL) |
Health Service Clinic/Center: Definition to come...
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About NPI 1386995058
Heritage Healthcare Group LLC's National Provider Identifier is 1386995058, issued on Sep 21, 2012. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2022.