Independence Center

LBN: Independence Center
Independence Center is an health care organization with primary practice located at 1730 Washington St , Waukegan IL 60085-5102. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Independence Center can be contacted via phone (847) 360-1020, or through Pierce, Michael via phone (847) 244-4442.

Contact Information

Primary practice address
1730 Washington St Waukegan IL 60085-5102
Phone: (847) 360-1020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Michael
Phone: (847) 244-4442

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1336318153
LBN Legal business name Independence Center
DBA Doing business as
Authorized official Pierce, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2008
Last updated Aug 3rd, 2011 - about 13 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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