| NPI | 1306279070 |
|---|---|
| Former Legal Business Name | HEARTLAND HEALTH OUTREACH, INC. |
| Other Name | HEARTLAND ALLIANCE HEALTH - JAMES WEST |
| Entity Type | Organization |
| Authorized Contact | EDWARD STELLON Executive Director 312-405-0802 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL 38369) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2020-10-15 |