Campus Building #4

LBN: One Hope United- Northern Region
Campus Building #4 is an health care organization with primary practice located at 215 N Milwaukee Ave Building # 4, 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. One Hope United- Northern Region can be contacted via phone (847) 245-6500, or through Gillis, Bill via phone (312) 949-5612.

Contact Information

Primary practice address
215 N Milwaukee Ave Building # 4 Lake Villa IL 60046-8529
Phone: (847) 245-6500
Fax: (847) 356-1842
Website:
Map and Directions
Authorized official contact:
Name: Gillis, Bill
Phone: (312) 949-5612

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 004019-12 Illinois

Profile Details

NPI number 1083961106
LBN Legal business name One Hope United- Northern Region
DBA Doing business as Campus Building #4
Authorized official Gillis, Bill
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2012
Last updated Aug 8th, 2012 - about 12 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 1083961106 NPPES
Illinois MEDICAID 2A00IPI004

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