| 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. |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 05/19/2025 |
| Medicare PECOS PAC ID | 2163475328 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093735144 PECOS PAC ID: 1052217239 Enrollment ID: I20031209000579 |
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