Hope Med Clinic, S.c. | |
2604 Dempster St Ste 403 Park Ridge IL 60068-8428 | |
(847) 627-5206 | |
(708) 942-6744 |
Full Name | Hope Med Clinic, S.c. |
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Speciality | Clinic/Center |
Location | 2604 Dempster St Ste 403, Park Ridge, Illinois |
Authorized Official Name and Position | Christine M Jun (OFFICE MANAGER) |
Authorized Official Contact | 7738379787 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hope Med Clinic, S.c. 2604 Dempster St Ste 403 Park Ridge IL 60068-8428 Ph: (847) 627-5206 | Hope Med Clinic, S.c. 2604 Dempster St Ste 403 Park Ridge IL 60068-8428 Ph: (847) 627-5206 |
NPI Number | 1932275633 |
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Provider Enumeration Date | 11/27/2006 |
Last Update Date | 05/19/2025 |
Medicare PECOS PAC ID | 2163475328 |
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Medicare Enrollment ID | O20050228000672 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932275633 | NPI | - | NPPES |
14D0973005 | Other | IL | CLIA |
036078305 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 261Q00000X (Illinois) | Primary |
Provider Name | David Y Jun |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093735144 PECOS PAC ID: 1052217239 Enrollment ID: I20031209000579 |
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