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

Heritage Healthcare Group LLC

Organization Health Service Clinic/Center · NPI 1386995058

Heritage Healthcare Group LLC is a Health Service Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

4356 N Kenmore Ave Apt 101
Chicago, IL 60613-1330
Phone: (312) 550-3612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X · Licence 6 (IL)

Record details

NPI number1386995058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Dacy — Executive Director · (847) 208-7620
NPI enumeratedSeptember 21, 2012
Last updated in NPPESJuly 21, 2022
Mailing address316 N Milwaukee St, Suite 208, Milwaukee, WI 53202-5885

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