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NPI Code Detail

MEDICARE: THE HOPE CLINIC FOR WOMEN, LTD

MEDICARE: THE HOPE CLINIC FOR WOMEN, LTD
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
1207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1972066694
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE HOPE CLINIC FOR WOMEN, LTD
Provider Business Mailing Address
First Line : 1602 21ST ST
Second Line :
City : GRANITE CITY
State : IL
Zip : 62040-5397
Country : US
Telephone Number : 618-451-5722
Fax Number : 618-451-9092
Provider Business Practice Location Address
First Line : 1602 21ST ST
Second Line :
City : GRANITE CITY
State : IL
Zip : 62040-5397
Country : US
Telephone Number : 618-451-5722
Fax Number : 618-451-9092
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ERIN LEE KING
Credential : MD
Telephone Number : 618-451-5722
Provider Enumeration Date : 04/09/2019
Last Update Date : 03/19/2021

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Directions to “THE HOPE CLINIC FOR WOMEN, LTD ” Practice Location

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