1174709810 INDEPENDENCE CENTER, INC.
Community/Behavioral Health Agency
Active
Basic Information
- Organization Name
- INDEPENDENCE CENTER, INC.
- Enumeration Date
- January 11, 2008
- Last Update
- November 4, 2016
- Authorized Official
- MS. LISA JOHNSON LCPC
EXECUTIVE DIRECTOR
Phone: (847) 360-1020
Practice Location
- Address
- 2025 WASHINGTON ST
WAUKEGAN, IL 600855131 - Phone
- (847) 360-1020
- Fax
- (847) 360-1065
Mailing Address
- Address
- 2025 WASHINGTON ST
WAUKEGAN, IL 600855131 - Phone
- (847) 360-1020
- Fax
- (847) 360-1065
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | No |
| Adult Mental Health Clinic/Center Adult Mental Health | 261QM0850X | Clinic/Center | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL6331 | 01 | N/A | MEDICARE PTAN |
Frequently Asked Questions
What is INDEPENDENCE CENTER, INC.'s NPI number?
INDEPENDENCE CENTER, INC.'s NPI number is 1174709810.
Which doctor has NPI number 1174709810?
The doctor with NPI number 1174709810 is INDEPENDENCE CENTER, INC..
What is INDEPENDENCE CENTER, INC.'s practice address?
INDEPENDENCE CENTER, INC.'s practice address is 2025 WASHINGTON ST, WAUKEGAN, IL, 600855131.
Which doctor practices at 2025 WASHINGTON ST, WAUKEGAN, IL, 600855131?
INDEPENDENCE CENTER, INC. practices at 2025 WASHINGTON ST, WAUKEGAN, IL, 600855131.
What is INDEPENDENCE CENTER, INC.'s phone number?
INDEPENDENCE CENTER, INC.'s phone number is (847) 360-1020.
Who is (847) 360-1020?
(847) 360-1020 is the phone number for INDEPENDENCE CENTER, INC..
What is INDEPENDENCE CENTER, INC.'s specialty?
INDEPENDENCE CENTER, INC.'s specialty is Community/Behavioral Health Agency.
What type of doctor is INDEPENDENCE CENTER, INC.?
INDEPENDENCE CENTER, INC. is a Community/Behavioral Health Agency.
Is INDEPENDENCE CENTER, INC. a Community/Behavioral Health?
Yes, INDEPENDENCE CENTER, INC. is a Community/Behavioral Health.
Is INDEPENDENCE CENTER, INC. still practicing?
Yes, INDEPENDENCE CENTER, INC. is currently practicing.
Is INDEPENDENCE CENTER, INC. accepting new patients?
INDEPENDENCE CENTER, INC. may be accepting new patients. Please call their office at (847) 360-1020 to inquire about availability.
Is NPI 1174709810 still active?
Yes, NPI 1174709810 is currently active.
Where does INDEPENDENCE CENTER, INC. practice?
INDEPENDENCE CENTER, INC. practices in WAUKEGAN, IL.