| Key To Hope Llc | |
|
1748 E 84th Pl #2 Chicago IL 60617-2275 | |
| (312) 523-0728 | |
| Not Available |
| Full Name | Key To Hope Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1748 E 84th Pl, Chicago, Illinois |
| Authorized Official Name and Position | Kellye M Winbush (OWNER) |
| Authorized Official Contact | 3125230728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key To Hope Llc 1748 E 84th Pl #2 Chicago IL 60617-2275 Ph: () - | Key To Hope Llc 1748 E 84th Pl #2 Chicago IL 60617-2275 Ph: (312) 523-0728 |
| NPI Number | 1154686079 |
|---|---|
| Provider Enumeration Date | 07/06/2012 |
| Last Update Date | 07/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154686079 | NPI | - | NPPES |
| HSD0V700 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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