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Contact Information

HEARTLAND ALLIANCE HEALTH
1207 W LELAND
CHICAGO, IL60640-6043
 Phone: 773-334-7117
 Fax: 773-334-7277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for HEARTLAND ALLIANCE HEALTH

NPI # 1962663120
LBN Legal business name HEARTLAND ALLIANCE HEALTH
Authorized official EDWARD STELLON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2008
Last updated 04/27/2020 - About 6 years ago
Identifiers
IL License # 019
IL Medicaid 019
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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