Healthcare Provider Details

I. General information

NPI: 1912570458
Provider Name (Legal Business Name): HOPEFUL DEVELOPMENTAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 CRANDON AVE
CALUMET CITY IL
60409-2201
US

IV. Provider business mailing address

380 CRANDON AVE
CALUMET CITY IL
60409-2201
US

V. Phone/Fax

Practice location:
  • Phone: 773-865-8590
  • Fax:
Mailing address:
  • Phone: 773-865-8590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. OSIGBOYEGA A OSIBOGUN
Title or Position: EXECUTIVE CHAIRMAN
Credential:
Phone: 773-865-8590