Provider Demographics
NPI:1558492991
Name:HOPE LLC
Entity Type:Organization
Organization Name:HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:E
Authorized Official - Last Name:DRASGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-661-1640
Mailing Address - Street 1:DEPT 6021
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60122-6021
Mailing Address - Country:US
Mailing Address - Phone:219-661-1640
Mailing Address - Fax:219-661-8066
Practice Address - Street 1:1205 S MAIN ST STE 301
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-3677
Practice Address - Country:US
Practice Address - Phone:219-661-1640
Practice Address - Fax:219-661-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01031484207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN4905250001Medicare NSC
IN206870Medicare PIN