MEDICARE: NEW HOPE COMMUNITY SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1194817809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HOPE COMMUNITY SERVICE

Provider Business Mailing Address
First Line	:	2011 E 75TH ST STE 110
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-3646
Country	:	US
Telephone Number	:	773-752-7796
Fax Number	:	773-785-2091

Provider Business Practice Location Address
First Line	:	2011 E 75TH ST STE 110
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-3646
Country	:	US
Telephone Number	:	773-752-7796
Fax Number	:	773-785-2091

Authorized Official
Title or Position	:	CHAIRMAN
Name	:	SOHAN P JOSHI
Credential	:
Telephone Number	:	77317527796

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	08/22/2020

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