Provider Demographics
NPI:1740697754
Name:HOPE HEALTH CARE OF CHICAGO, LLC
Entity type:Organization
Organization Name:HOPE HEALTH CARE OF CHICAGO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:KOHOU
Authorized Official - Last Name:KOUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-796-1560
Mailing Address - Street 1:4018 N GRANT ST
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1314
Mailing Address - Country:US
Mailing Address - Phone:630-796-1560
Mailing Address - Fax:
Practice Address - Street 1:4018 N GRANT ST
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1314
Practice Address - Country:US
Practice Address - Phone:630-796-1560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251B00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health