| Heart Of Health Pllc | |
|
4947 N Winthrop Medical Center Chicago IL 60640 | |
| (773) 455-4325 | |
| Not Available |
| Full Name | Heart Of Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4947 N Winthrop, Chicago, Illinois |
| Authorized Official Name and Position | Jack M Pham (PRESIDENT) |
| Authorized Official Contact | 7734554325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Health Pllc 4947 N Winthrop Ave Chicago IL 60640-3607 Ph: (773) 455-4325 | Heart Of Health Pllc 4947 N Winthrop Medical Center Chicago IL 60640 Ph: (773) 455-4325 |
| NPI Number | 1619656832 |
|---|---|
| Provider Enumeration Date | 07/14/2023 |
| Last Update Date | 08/05/2023 |
| Medicare PECOS PAC ID | 6204275365 |
|---|---|
| Medicare Enrollment ID | O20240422003083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619656832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jack M Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427566454 PECOS PAC ID: 3678933959 Enrollment ID: I20230718003247 |
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