Provider Demographics
NPI:1760879324
Name:HOPE HOSPICE & PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:HOPE HOSPICE & PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WAHIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERVAIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-546-1706
Mailing Address - Street 1:2315 E 93RD ST
Mailing Address - Street 2:237
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-3936
Mailing Address - Country:US
Mailing Address - Phone:630-546-1706
Mailing Address - Fax:630-887-9625
Practice Address - Street 1:2315 E 93RD ST
Practice Address - Street 2:237
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-3936
Practice Address - Country:US
Practice Address - Phone:630-546-1706
Practice Address - Fax:630-887-9625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2003081251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based