Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heartland Medical Center LLC

Organization Internal Medicine Physician · NPI 1912927351

Heartland Medical Center LLC is an Internal Medicine Physician in Fairview Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5032 N Illinois St Ste B
Fairview Heights, IL 62208-3415
Phone: (618) 416-9005
Fax: (618) 641-9452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036100162 (IL)

Record details

NPI number1912927351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benedicta Umoru — Physician · (618) 416-9005
NPI enumeratedJuly 20, 2006
Last updated in NPPESMay 13, 2016
Mailing addressPo Box 2015, Fairview Heights, IL 62208-0215

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