OrganizationActive
Heritage Healthcare Group LLC
NPI 1386995058 · Health Service Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1386995058
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Dacy, Executive Director(847) 208-7620
- License
- 6 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4356 N Kenmore Ave
Apt 101
Chicago, IL 60613-1330
Phone: (312) 550-3612
Street-level locationGet directions
Mailing address
316 N Milwaukee St
Milwaukee, WI 53202-5885
Registry dates
- Enumerated
- 2012-09-21
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.