Healthcare Provider Details

I. General information

NPI: 1245631860
Provider Name (Legal Business Name): HOPE HOSPICE AND PALLIATIVE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 09/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 E 93RD ST SUITE 237B
CHICAGO IL
60617-3936
US

IV. Provider business mailing address

2315 E 93RD ST 237B
CHICAGO IL
60617-3936
US

V. Phone/Fax

Practice location:
  • Phone: 773-734-9200
  • Fax: 773-734-9201
Mailing address:
  • Phone: 773-734-9200
  • Fax: 773-734-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number2003081
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AKHTAR PARVAIZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 773-734-9200