| Key To Hope | |
|
1593 Green Bay Rd Highland Park IL 60035-3601 | |
| (312) 218-2671 | |
| Not Available |
| Full Name | Key To Hope |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1593 Green Bay Rd, Highland Park, Illinois |
| Authorized Official Name and Position | Michael Jordain Jackson (ABA LINE THERAPIST) |
| Authorized Official Contact | 3122182671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key To Hope 1593 Green Bay Rd Highland Park IL 60035-3601 Ph: (312) 218-2671 | Key To Hope 1593 Green Bay Rd Highland Park IL 60035-3601 Ph: (312) 218-2671 |
| NPI Number | 1205179082 |
|---|---|
| Provider Enumeration Date | 03/31/2013 |
| Last Update Date | 03/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205179082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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