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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1295670065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE HOPE UNITED

Provider Business Mailing Address
First Line	:	333 S WABASH AVE STE 2750
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60604-4264
Country	:	US
Telephone Number	:	312-949-5500
Fax Number	:

Provider Business Practice Location Address
First Line	:	924 W 19TH PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-4365
Country	:	US
Telephone Number	:	312-949-5500
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	HEATHER CHRISTINE KELLY
Credential	:	LCSW
Telephone Number	:	217-273-5398

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “ONE HOPE UNITED ” Practice Location

Language	Start Address	Practice Location

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