| Shades Of Hope Llc | |
| 
					15941 Harlem Ave 126 Tinley Park IL 60477-1609  | |
| (773) 858-3106 | |
| Not Available | 
| Full Name | Shades Of Hope Llc | 
|---|---|
| Speciality | Community/Behavioral Health | 
| Location | 15941 Harlem Ave, Tinley Park, Illinois | 
| Authorized Official Name and Position | Akilah Baker (CEO) | 
| Authorized Official Contact | 7738583106 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shades Of Hope Llc 15941 Harlem Ave 126 Tinley Park IL 60477-1609 Ph: () -  | Shades Of Hope Llc 15941 Harlem Ave 126 Tinley Park IL 60477-1609 Ph: (773) 858-3106  | 
| NPI Number | 1619301066 | 
|---|---|
| Provider Enumeration Date | 08/21/2013 | 
| Last Update Date | 10/16/2013 | 
| Medicare PECOS PAC ID | 8628202215 | 
|---|---|
| Medicare Enrollment ID | O20131015001061 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619301066 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149.015481 (Illinois) | Primary | 
| Provider Name | Akilah A Baker | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1497007272 PECOS PAC ID: 4880848209 Enrollment ID: I20130211000469  | 
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