| Good Hope Behavioral Health | |
|
12 Salt Creek Ln Suite 405 Hinsdale IL 60521-8605 | |
| (630) 789-7800 | |
| Not Available |
| Full Name | Good Hope Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Salt Creek Ln, Hinsdale, Illinois |
| Authorized Official Name and Position | Denise B (ADMINISTRATOR) |
| Authorized Official Contact | 6307897800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Hope Behavioral Health 12 Salt Creek Ln Suite 405 Hinsdale IL 60521-8605 Ph: (630) 789-7800 | Good Hope Behavioral Health 12 Salt Creek Ln Suite 405 Hinsdale IL 60521-8605 Ph: (630) 789-7800 |
| NPI Number | 1417258781 |
|---|---|
| Provider Enumeration Date | 11/03/2010 |
| Last Update Date | 09/05/2013 |
| Medicare PECOS PAC ID | 6305021114 |
|---|---|
| Medicare Enrollment ID | O20110420000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417258781 | NPI | - | NPPES |
| 036-108963 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Diane E Leamy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235149626 PECOS PAC ID: 2264431923 Enrollment ID: I20061207000372 |
| Provider Name | Ghassan Aldurra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699781310 PECOS PAC ID: 7214060011 Enrollment ID: I20100730000438 |
| Provider Name | Helena Muirragui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366451304 PECOS PAC ID: 9436334265 Enrollment ID: I20110421000176 |
| Provider Name | Guy Oberwise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518388784 PECOS PAC ID: 8921311416 Enrollment ID: I20150713001541 |
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