Heartland Health Outreach is a Dental Clinic in Chicago, Illinois. It is located at 641 W 63rd St, Chicago, IL and its contact number is 773-488-4277. The authorized person for Heartland Health Outreach is Heidi Nelson
who is Controller of the clinic and their contact number is 773-751-4107. The primary license number for Heartland Health Outreach is 016 (General Practice) in Illinois. Heartland Health Outreach Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Heartland Health Outreach Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Heartland Health Outreach
Specialization:
General Practice Dentistry
Clinic Address:
641 W 63rd St, Chicago, Illinois, 60621-2032
Phone:
773-488-4277
Fax:
773-488-4292
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Heidi Nelson
Position:
Controller
Contact Number:
773-751-4107
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Heartland Health Outreach clinic are as mentioned below.
NPI Number:
1720245491
NPI Enumeration Date:
20 May, 2008
NPI Last Update On:
20 May, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heartland Health Outreach are as mentioned below.
Specialization
License Number
State
Status
General Practice
016
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016
Medicaid
Illinois
103348
Other
Illinois
Doral Dental
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Heartland Health Outreach 4750 N Sheridan Rd, #434 Chicago, Illinois
Zip:
60640-7528
Phone Number:
773-751-1704
Fax Number:
773-751-4175
Patients can reach Heartland Health Outreach at 641 W 63rd St, Chicago, Illinois or can call to book an appointment on 773-488-4277. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.