Organization
ONE HOPE UNITED
Active
Other names
One Hope United Northern Region
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HOPKINS (CQIR MEDICAID COORDINATOR)
(847) 245-6556
Entity
Organization
Contact information
Practice address
1901 N LEWIS AVE, WAUKEGAN, IL 60087-4723
(847) 662-0945
Mailing address
333 S. WABASH AVE, SUITE 2750, CHICAGO, IL 60604-4723
(847) 949-5631
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
37069157003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2A00-IPI-004
—
IL
Enumeration date
10/20/2009
Last updated
08/28/2017
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