Kids Hope United Northern Region

LBN: Kids Hope United Northern Region
Kids Hope United Northern Region is an health care organization with primary practice located at 215 N Milwaukee Ave , Lake Villa IL 60046-8529. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Kids Hope United Northern Region can be contacted via phone (847) 245-6584, or through Gillis, Bill A via phone (312) 949-5612.

Contact Information

Primary practice address
215 N Milwaukee Ave Lake Villa IL 60046-8529
Phone: (847) 245-6584
Fax: (847) 356-1842
Website:
Map and Directions
Authorized official contact:
Name: Gillis, Bill A
Phone: (312) 949-5612

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 004019-10 Illinois

Profile Details

NPI number 1104889633
LBN Legal business name Kids Hope United Northern Region
DBA Doing business as
Authorized official Gillis, Bill A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104889633 NPPES
Illinois MEDICAID 370697157003

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