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NPI Code Detail

MEDICARE: ONE HOPE UNITED

MEDICARE: ONE HOPE UNITED
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
1251S00000XCommunity/Behavioral Health Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841539640
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE HOPE UNITED
Provider Business Mailing Address
First Line : 333 S. WABASH AVE
Second Line : SUITE 2750
City : CHICAGO
State : IL
Zip : 60604-3702
Country : US
Telephone Number : 312-949-5631
Fax Number :
Provider Business Practice Location Address
First Line : 4110 N WATER TOWER PL
Second Line :
City : MOUNT VERNON
State : IL
Zip : 62864-6295
Country : US
Telephone Number : 618-242-8266
Fax Number :
Authorized Official
Title or Position : ASST. DIRECTOR OF BEHAVIORAL HEALTH
Name : HEATHER CHRISTINE KELLY
Credential :
Telephone Number : 217-273-5398
Provider Enumeration Date : 02/14/2013
Last Update Date : 06/10/2024

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Directions to “ONE HOPE UNITED ” Practice Location

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