Provider Demographics
NPI:1366820516
Name:ONE HOPE UNITED
Entity Type:Organization
Organization Name:ONE HOPE UNITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAMS
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVACEK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:630-513-6277
Mailing Address - Street 1:1750 E MAIN ST STE 40
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-2398
Mailing Address - Country:US
Mailing Address - Phone:630-513-6277
Mailing Address - Fax:630-513-4277
Practice Address - Street 1:1750 E MAIN ST STE 40
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2398
Practice Address - Country:US
Practice Address - Phone:630-513-6277
Practice Address - Fax:630-513-4277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.005247251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health