Health Heroes of Illinois, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036110081 Issued in IL

Legal business name

HEALTH HEROES OF ILLINOIS, INC.

Practice address

3412 Office Park Dr
Marion, IL 62959-6477

Phone

(256) 426-5389

NPI assigned

Feb 3, 2015

Last updated

Feb 3, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTH HEROES, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Di Salvo

Title

President

Phone

(256) 426-5389

Specialties & licenses 1

Addresses

Part of

Health Heroes Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Health Heroes Incorporated

  dba Tribe Nutrition

  • Registered Dietitian
  • Chicago, IL
  • NPI 1144050881
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1588054100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22056",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358142056",
            "telephone_number": "256-426-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 OFFICE PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596477",
            "telephone_number": "256-426-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH HEROES OF ILLINOIS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH HEROES, INC.",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "DI SALVO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-426-5389"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036110081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Hawthorne, PHARM.D.
• Margaret L. J. Hayes, M.D.
• Wendy Haynes
• Jessica Hays
• Jennifer Lynn Hazel
• Health Plan of Southern Illinois, Inc. (Marion Rural Health Clinic)
• Healthdirect Institutional Pharmacy Services, Inc. (Healthdirect Institutional Pharmacy Services, Inc. #128)
• Heartland Balance and Hearing Center SC
• Heartland Pediatric Clinic
• Heartland Rural Healthcare, LLC

• General Practice Physician in Marion, IL
• Providers in Marion, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.