HEARTLAND ALLIANCE HEALTH - EW SUPR
NPI 1417580101
Clinic/Center - Rehabilitation, Substance Use Disorder in Chicago, IL

Q: What is Heartland Alliance Health's NPI number?

The NPI number for Heartland Alliance Health is 1417580101. It was assigned to this organization in the NPPES registry on February 20, 2020. The provider is also known as Heartland Alliance Health - Ew Supr.

Q: What is Heartland Alliance Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since February 20, 2020

5501 S HALSTED ST, CHICAGO, IL 60621(773) 632-5700(773) 962-0376 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2022, Feb 20, 2020 (2 updates tracked since 2020).

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About Heartland Alliance Health - Ew Supr NPPES

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

HEARTLAND ALLIANCE HEALTH - EW SUPR (NPI 1417580101) is a healthcare organization registered as a rehabilitation, substance use disorder in Chicago, Illinois and active in the NPI registry since February 2020. The organization lists Jimmy Valentin, Director, Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1417580101

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameHEARTLAND ALLIANCE HEALTH

Location Address5501 S HALSTED STChicago, IL 60621-2229

Mailing Address4750 N Sheridan Rd Ste 449Chicago, IL 60640-5078 · (773) 751-4129 · Fax (773) 751-4175

Phone(773) 632-5700

Fax(773) 962-0376

Organization SubpartNo

Authorized OfficialJimmy ValentinDirector, Revenue Cycle Management · (773) 751-4129

Enumeration DateFebruary 20, 2020

Last NPPES UpdateMay 12, 20222 updates tracked since enumeration

NPPES CertifiedMay 12, 2022

✔ NPI 1417580101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

5501 S HALSTED ST, Chicago, IL 60621

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Other Names 1

Other NameHeartland Alliance Health - Ew Supr

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAINAB OTUN RN

Registered Nurse