Heartland Medical Center LLC
NPI #1912927351 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1912927351
- Entity Type
- Organization
- Organization Name
- Heartland Medical Center LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 20, 2006
- Last Updated
- May 13, 2016
Practice Location
- Address
- 5032 N ILLINOIS ST
- Address 2
- SUITE B
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-3415
- Phone
- (618) 416-9005
Authorized Official
- Name
- BENEDICTA UMORU, MD
- Title
- PHYSICIAN
- Phone
- (618) 416-9005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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