Organization · Type 2 NPI

Heartland Alliance Health

Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL

NPI number 1962663120 Active

Practice location

1207 W Leland
Chicago, IL 60640-6043

Call (773) 334-7117 Map

Fax (773) 334-7277

Mailing address

4750 N Sheridan Rd Ste 449
Chicago, IL 60640-5078

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Psychologist	103TA0400X	019 (IL)
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency	251S00000X	019 (IL)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Chicago

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NPI record

NPI: 1962663120
Entity type: Organization (Type 2)
Issued: Jun 20, 2008
Last updated: Apr 27, 2020
Status: Active

Other names

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Chicago Health Outreach · former legal business name
Heartland Health Outreach · former legal business name

Authorized official

Edward Stellon
Executive Director
(773) 751-4129

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 1962663120

Heartland Alliance Health's National Provider Identifier is 1962663120, issued on Jun 20, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Apr 27, 2020.