Organization Active NPI

Hope Med Clinic, S.C.

  • Clinic/Center
  • Park Ridge, IL
National Provider Identifier
1932275633
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
261Q00000X Issued in IL
Legal business name
HOPE MED CLINIC, S.C.
Practice address
2604 Dempster St Ste 403
Park Ridge, IL 60068-8428
Phone
(847) 627-5206
Fax
(708) 942-6744
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Mrs. Christine M Jun
Title
Office Manager
Phone
(773) 837-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 261Q00000X IL Primary

Addresses

Primary practice location

2604 Dempster St Ste 403
Park Ridge, IL 60068-8428

Mailing address

2604 Dempster St Ste 403
Park Ridge, IL 60068-8428
Phone (847) 627-5206

Other identifiers 2

IdentifierTypeStateIssuer
14D0973005OtherILCLIA
036078305MedicaidIL

Other names 1

  • Hope Med Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050228000672 IL Part B Supplier - Clinic/Group Practice 2163475328 Receives reassigned benefits from 1 practitioner
Practice locations: Park Ridge, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0973005Hope Med Clinic2604 Dempster St Ste 403, Park Ridge, IL 60068Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

2604 Dempster St
Ste 403
Park Ridge, IL 60068
Phone (847) 296-3577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1932275633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 403",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688428",
            "telephone_number": "847-627-5206",
            "fax_number": "708-942-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 403",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688428",
            "telephone_number": "847-627-5206",
            "fax_number": "708-942-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MED CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-837-9787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "261Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0973005",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078305",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Med Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.