Provider Demographics
NPI:1376589853
Name:HOPE HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:HOPE HEALTH SERVICES INC.
Other - Org Name:MIDWEST BEHAVIORAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOVITA
Authorized Official - Middle Name:CHIKEZE
Authorized Official - Last Name:ANYANWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-239-6569
Mailing Address - Street 1:16734 STEEPLECHASE PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-5890
Mailing Address - Country:US
Mailing Address - Phone:708-256-8886
Mailing Address - Fax:708-479-9886
Practice Address - Street 1:8836 S ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-4956
Practice Address - Country:US
Practice Address - Phone:773-239-6569
Practice Address - Fax:773-239-6589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0336072994261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK04806Medicare ID - Type Unspecified