Provider Demographics
NPI:1891549275
Name:HEXAMER, HOPE ELIZABETH
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:ELIZABETH
Last Name:HEXAMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BRANDON RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-3112
Mailing Address - Country:US
Mailing Address - Phone:224-277-9888
Mailing Address - Fax:
Practice Address - Street 1:52 BRANDON RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3112
Practice Address - Country:US
Practice Address - Phone:224-277-9888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician