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HERITAGE HEALTHCARE GROUP LLC
NPI 1386995058
Clinic/Center - Health Service in Chicago, IL

Active since September 21, 2012
4356 N KENMORE AVE, APT 101, CHICAGO, IL 60613(312) 550-3612 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Healthcare Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE HEALTHCARE GROUP LLC (NPI 1386995058) is a healthcare organization registered as a health service in Chicago, Illinois and active in the NPI registry since September 2012. The organization lists Andrew Dacy, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1386995058
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameHERITAGE HEALTHCARE GROUP LLC
Location Address4356 N KENMORE AVE, APT 101Chicago, IL 60613-1330
Mailing Address316 N Milwaukee St, Suite 208Milwaukee, WI 53202-5885 · (888) 348-6773 · Fax (888) 389-9031
Phone(312) 550-3612
Organization SubpartNo
Authorized OfficialAndrew DacyExecutive Director · (847) 208-7620
Enumeration DateSeptember 21, 2012
Last NPPES UpdateJuly 21, 2022
✔ NPI 1386995058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in IL · 6
4356 N KENMORE AVE, Chicago, IL 60613
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Healthcare Group LLC's NPI number?

The NPI number for Heritage Healthcare Group LLC is 1386995058. It was assigned to this organization in the NPPES registry on September 21, 2012.

Where is Heritage Healthcare Group LLC located?

Heritage Healthcare Group LLC is located at 4356 N Kenmore Ave Apt 101, Chicago, IL 60613. The listed phone number is (312) 550-3612.

What is Heritage Healthcare Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Heritage Healthcare Group LLC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.