| R Hope Treatment, Llc | |
|
1335 Dodge Ave Evanston IL 60201-4031 | |
| (847) 868-9369 | |
| Not Available |
| Full Name | R Hope Treatment, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1335 Dodge Ave, Evanston, Illinois |
| Authorized Official Name and Position | Marko Zivkovic (OWNER) |
| Authorized Official Contact | 8478689369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R Hope Treatment, Llc 1335 Dodge Ave Evanston IL 60201-4031 Ph: (847) 868-9369 | R Hope Treatment, Llc 1335 Dodge Ave Evanston IL 60201-4031 Ph: (847) 868-9369 |
| NPI Number | 1194591859 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Medicare PECOS PAC ID | 1456701275 |
|---|---|
| Medicare Enrollment ID | O20231220000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194591859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Katie L. Meier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689119752 PECOS PAC ID: 4385926740 Enrollment ID: I20170119000473 |
| Provider Name | Janet Vokoun Starck |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154764124 PECOS PAC ID: 0941592257 Enrollment ID: I20180612002364 |
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