One Hope United | |
1790 Nations Dr Suite 116 Gurnee IL 60031-9164 | |
(847) 245-6544 | |
(847) 855-1609 |
Full Name | One Hope United |
---|---|
Speciality | Community/behavioral Health |
Location | 1790 Nations Dr, Gurnee, Illinois |
Authorized Official Name and Position | Elizabeth Hopkins (CQIR MEDICAID COORDINATOR) |
Authorized Official Contact | 8472456556 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
One Hope United 1790 Nations Dr Suite 116 Gurnee IL 60031-9164 Ph: (847) 245-6544 | One Hope United 1790 Nations Dr Suite 116 Gurnee IL 60031-9164 Ph: (847) 245-6544 |
NPI Number | 1841570249 |
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Provider Enumeration Date | 08/17/2011 |
Last Update Date | 09/28/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841570249 | NPI | - | NPPES |
2A00-IPI-004 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
253J00000X | Foster Care Agency | 37069157003 (Illinois) | Secondary |
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