Spang North Dental

LBN: Heartland Health Outreach
Spang North Dental is an health care organization with primary practice located at 845 W Wilson Ave , Chicago IL 60640-5704. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Heartland Health Outreach can be contacted via phone (773) 728-7264, or through Nelson, Heidi via phone (773) 751-4107.

Contact Information

Primary practice address
845 W Wilson Ave Chicago IL 60640-5704
Phone: (773) 728-7264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Heidi
Phone: (773) 751-4107

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 014 Illinois

Profile Details

NPI number 1881860245
LBN Legal business name Heartland Health Outreach
DBA Doing business as Spang North Dental
Authorized official Nelson, Heidi
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881860245 NPPES
Illinois Other 103349 DORAL DENTAL

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