Provider Demographics
NPI:1194817809
Name:NEW HOPE COMMUNITY SERVICE
Entity Type:Organization
Organization Name:NEW HOPE COMMUNITY SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:SOHAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:7731-752-7796
Mailing Address - Street 1:2011 E 75TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-3646
Mailing Address - Country:US
Mailing Address - Phone:773-752-7796
Mailing Address - Fax:773-785-2091
Practice Address - Street 1:2011 E 75TH ST STE 110
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-3646
Practice Address - Country:US
Practice Address - Phone:773-752-7796
Practice Address - Fax:773-785-2091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health