Tapestry 360 Health
Tapestry 360 Health provides General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
5900 N Glenwood AveChicago, IL 60660-3312
Phone: (773) 751-1860
Fax: (773) 989-8345
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Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 113310 (IL) |
Record details
| NPI number | 1932366408 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicole Willis — Ceo · (773) 751-7800 |
| Other names | Heartland Health Centers; Tapestry 360 Health - Senn High School |
| NPI enumerated | May 21, 2008 |
| Last updated in NPPES | October 4, 2023 |
| Certification date | October 4, 2023 |
| Mailing address | 1301 W Devon Ave, Chicago, IL 60660-1329 |
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