HEARTLAND HEALTH CENTER-WILSON
NPI 1790942084
Dentist - General Practice in Chicago, IL

Q: What is Heartland International Health Center's specialty?

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

Active since May 22, 2008

845 W WILSON AVE, CHICAGO, IL 60640(773) 728-7264(773) 728-7557 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heartland Health Center-wilson NPPES

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

HEARTLAND HEALTH CENTER-WILSON (NPI 1790942084) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2008. The organization lists Gwenn Rausch, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790942084

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameHEARTLAND INTERNATIONAL HEALTH CENTER

Location Address845 W WILSON AVEChicago, IL 60640-5704

Mailing Address3048 N. Wilton Ave, 2nd FloorChicago, IL 60657-6710 · (773) 296-7544 · Fax (773) 751-4175

Phone(773) 728-7264

Fax(773) 728-7557

Organization SubpartNo

Authorized OfficialGwenn RauschExecutive Director · (773) 296-7589

Enumeration DateMay 22, 2008

Last NPPES UpdateSeptember 20, 2010

✔ NPI 1790942084 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 · 003

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.

845 W WILSON AVE, Chicago, IL 60640

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Other Names 1

Doing Business AsHeartland Health Center-wilson

Other Identifiers 1

Other103527IL · 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.

MICHELLE NUCUP LCPC, CADC

Counselor (Professional)