Organization Active NPI

R Hope Treatment, LLC

  • Psychiatry Physician
  • Evanston, IL
National Provider Identifier
1194591859
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
R HOPE TREATMENT, LLC
Practice address
1335 Dodge Ave
Evanston, IL 60201-4031
Phone
(847) 868-9369
NPI assigned
Dec 4, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marko Zivkovic
Title
Owner
Phone
(847) 868-9369

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1335 Dodge Ave
Evanston, IL 60201-4031

Mailing address

1335 Dodge Ave
Evanston, IL 60201-4031
Phone (847) 868-9369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220000796 IL Part B Supplier - Clinic/Group Practice 1456701275 Receives reassigned benefits from 3 practitioners
Practice locations: Evanston, IL

National Provider Directory

National Provider Directory

Locations

1335 Dodge Ave
Evanston, IL 60201
Phone (847) 868-9369

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1194591859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 DODGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014031",
            "telephone_number": "847-868-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 DODGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014031",
            "telephone_number": "847-868-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R HOPE TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "ZIVKOVIC",
        "authorized_official_first_name": "MARKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-868-9369"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.