| One Hope United | |
|
815 N Larkin Ave Suite 109 Joliet IL 60435-3438 | |
| (815) 730-6700 | |
| Not Available |
| Full Name | One Hope United |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 815 N Larkin Ave, Joliet, 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 815 N Larkin Ave Ste 207 Joliet IL 60435-3440 Ph: (815) 730-6700 | One Hope United 815 N Larkin Ave Suite 109 Joliet IL 60435-3438 Ph: (815) 730-6700 |
| NPI Number | 1497188270 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 01/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497188270 | NPI | - | NPPES |
| 2A00-IPI-004 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253J00000X | Foster Care Agency | 37069157003 (Illinois) | Secondary |
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