OrganizationActive
Heartland Alliance Health
NPI 1417580101 · Substance Use Disorder Rehabilitation Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1417580101
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jimmy Valentin, Director, Revenue Cycle Management(773) 751-4129
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
5501 S Halsted St
Chicago, IL 60621-2229
Phone: (773) 632-5700
Fax: (773) 962-0376
Street-level locationGet directions
Mailing address
4750 N Sheridan Rd Ste 449
Chicago, IL 60640-5078
Other names (DBA / former)
- Other name
- Heartland Alliance Health - Ew Supr
Registry dates
- Enumerated
- 2020-02-20
- Last updated
- 2022-05-12
- Certified
- 2022-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.