| Forward Hope, Llc | |
|
207 Thunder Rdg Lake In The Hills IL 60156-4829 | |
| (708) 261-5831 | |
| Not Available |
| Full Name | Forward Hope, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 207 Thunder Rdg, Lake In The Hills, Illinois |
| Authorized Official Name and Position | Xiomara Ramirez (OWNER / PSYCHOTHERAPIST) |
| Authorized Official Contact | 7082615831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Hope, Llc 207 Thunder Rdg Lake In The Hills IL 60156-4829 Ph: (708) 261-5831 | Forward Hope, Llc 207 Thunder Rdg Lake In The Hills IL 60156-4829 Ph: (708) 261-5831 |
| NPI Number | 1265201891 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 0941649107 |
|---|---|
| Medicare Enrollment ID | O20240419003330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265201891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Xiomara Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447991062 PECOS PAC ID: 1850730011 Enrollment ID: I20240419003362 |
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