| NPI | 1215258116 |
|---|---|
| Doing Business As | HEARTLAND HEALTH CENTER - CLARK |
| Entity Type | Organization |
| Authorized Contact | GWENN RAUSCH Executive Director 773-296-7589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027796) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |