Healthcare Provider Details

I. General information

NPI: 1568677730
Provider Name (Legal Business Name): HOPE FOR TOMORROW, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 02/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 1/2 W DOWNER PL SUITE 39
AURORA IL
60506-5124
US

IV. Provider business mailing address

44 1/2 WEST DOWNER PLACE SUITE 39
AURORA IL
60506
US

V. Phone/Fax

Practice location:
  • Phone: 630-966-9000
  • Fax: 630-966-9002
Mailing address:
  • Phone: 630-966-9000
  • Fax: 630-966-9002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberA-4814-0001-A
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberA-4814-0002-A
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberA-4814-0003-A
License Number StateIL

VIII. Authorized Official

Name: MR. JEFF S GILBERT
Title or Position: EXECUTIVE DIRECTOR
Credential: C.A.D.C., P.C.G.C.
Phone: 630-966-9000