| One Hope United | |
|
2115 S Ernie Krueger Cir Waukegan IL 60087-4156 | |
| (847) 245-6800 | |
| Not Available |
| Full Name | One Hope United |
|---|---|
| Speciality | Foster Care Agency |
| Location | 2115 S Ernie Krueger Cir, Waukegan, 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 333 S. Wabash Ave Suite 2750 Chicago IL 60604-4156 Ph: (312) 949-5631 | One Hope United 2115 S Ernie Krueger Cir Waukegan IL 60087-4156 Ph: (847) 245-6800 |
| NPI Number | 1265767214 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 08/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265767214 | NPI | - | NPPES |
| 2A00-IPI-004 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253J00000X | Foster Care Agency | 370697157003 (Illinois) | Primary |
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