Provider Demographics
NPI:1194591859
Name:R HOPE TREATMENT, LLC
Entity type:Organization
Organization Name:R HOPE TREATMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARKO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIVKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-868-9369
Mailing Address - Street 1:1335 DODGE AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4031
Mailing Address - Country:US
Mailing Address - Phone:847-868-9369
Mailing Address - Fax:
Practice Address - Street 1:1335 DODGE AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4031
Practice Address - Country:US
Practice Address - Phone:847-868-9369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty