Provider Demographics
NPI:1043852932
Name:HEARTLAND WOMEN'S HEALTHCARE LTD
Entity type:Organization
Organization Name:HEARTLAND WOMEN'S HEALTHCARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-997-5266
Mailing Address - Street 1:3230 VETERANS MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IL
Mailing Address - Zip Code:62864-5950
Mailing Address - Country:US
Mailing Address - Phone:618-997-5266
Mailing Address - Fax:618-997-5285
Practice Address - Street 1:1407 MCPHERSON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IL
Practice Address - Zip Code:62864-2822
Practice Address - Country:US
Practice Address - Phone:618-997-5266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care