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Organization

ONE HOPE UNITED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH HOPKINS (CQIR MEDICAID COORDINATOR)
(847) 245-6556
Entity
Organization

Contact information

Practice address
815 N LARKIN AVE, SUITE 109, JOLIET, IL 60435-3438
(815) 730-6700
Mailing address
815 N LARKIN AVE STE 207, JOLIET, IL 60435-3440
(815) 730-6700

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
253J00000X
Foster Care Agency
37069157003
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2A00-IPI-004
IL
Enumeration date
08/15/2013
Last updated
01/31/2018
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