| Healthe Land | |
|
4022 W 21st Pl 2nd Floor Chicago IL 60623-2829 | |
| (773) 699-7630 | |
| (773) 751-2250 |
| Full Name | Healthe Land |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4022 W 21st Pl, Chicago, Illinois |
| Authorized Official Name and Position | Etta Guest (PRESIDENT) |
| Authorized Official Contact | 7736997630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthe Land 4022 W 21st Pl Chicago IL 60623-2829 Ph: (773) 699-7630 | Healthe Land 4022 W 21st Pl 2nd Floor Chicago IL 60623-2829 Ph: (773) 699-7630 |
| NPI Number | 1013039866 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013039866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Illinois) | Primary |
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