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General NPI Number Information
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NPI Number | 1932275633
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Entity Type | Organization
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Legal Business Name | HOPE MED CLINIC, S.C.
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 2604 DEMPSTER ST STE 403
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City | PARK RIDGE
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State | IL
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Zip | 60068-8428
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Country | US
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Telephone | 847-627-5206
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Fax | 708-942-6744
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Provider Business Mailing Address
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Address Line | 2604 DEMPSTER ST STE 403
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City | PARK RIDGE
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State | IL
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Zip | 60068-8428
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Country | US
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Telephone | 847-627-5206
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Fax | 708-942-6744
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRISTINE M JUN
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Credential |
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Telephone | 773-837-9787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 261Q00000X
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License Number State | IL
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