SPANG SOUTH DENTAL CLINIC
NPI 1720245491
Dentist - General Practice in Chicago, IL

Active since May 20, 2008
641 W 63RD ST, CHICAGO, IL 60621(773) 488-4277(773) 488-4292 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spang South Dental Clinic NPPES

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

SPANG SOUTH DENTAL CLINIC (NPI 1720245491) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2008. The organization lists Heidi Nelson, Controller, as its authorized official.

NPPES Registry Identity

NPI1720245491
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHEARTLAND HEALTH OUTREACH
Location Address641 W 63RD STChicago, IL 60621-2032
Mailing Address4750 N Sheridan Rd, #434Chicago, IL 60640-7528 · (773) 751-1704 · Fax (773) 751-4175
Fax(773) 488-4292
Organization SubpartNo
Authorized OfficialHeidi NelsonController · (773) 751-4107
Enumeration DateMay 20, 2008
NPI 1720245491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 016
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

641 W 63RD ST, Chicago, IL 60621

Other Names 1

Other NameSpang South Dental Clinic

Other Identifiers 2

Medicaid016IL
Other103348IL · Doral Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Women's Health)
641 W 63RD ST
CHICAGO, IL 60621
Case Manager/Care Coordinator
641 W 63RD ST
CHICAGO, IL 60621
Registered Nurse (Community Health)
641 W 63RD ST
CHICAGO, IL 60621
Clinic/Center (Adult Mental Health)
641 W 63RD ST, L33
CHICAGO, IL 60621
Clinic/Center (Federally Qualified Health Center (FQHC))
641 W 63RD ST
CHICAGO, IL 60621
Social Worker (Clinical)
641 W 63RD ST, L33
CHICAGO, IL 60621
Pediatrics
641 W 63RD ST
CHICAGO, IL 60621
Psychologist (Clinical)
641 W 63RD ST, SPECIALTY CLINIC, LOWER LEVEL
CHICAGO, IL 60621

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 Heartland Health Outreach's NPI number?

The NPI number for Heartland Health Outreach is 1720245491. It was assigned to this organization in the NPPES registry on May 20, 2008. The provider is also known as Spang South Dental Clinic.

Where is Heartland Health Outreach located?

Heartland Health Outreach is located at 641 W 63rd St, Chicago, IL 60621. The listed phone number is (773) 488-4277.

What is Heartland Health Outreach's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Heartland Health Outreach was last updated on May 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.