Independence Center, Inc.
LBN: Independence Center, Inc.
Independence Center, Inc. is an health care organization with primary practice located at 2025 Washington St , Waukegan IL 60085-5131. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty.
Independence Center, Inc. can be contacted via phone (847) 360-1020, or through Johnson, Lisa via phone (847) 360-1020.
Contact Information
Primary practice address
2025 Washington St
Waukegan IL 60085-5131
Phone: (847) 360-1020
Fax: (847) 360-1065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X |
Profile Details
| NPI number | 1174709810 |
|---|---|
| LBN Legal business name | Independence Center, Inc. |
| DBA Doing business as | |
| Authorized official | Johnson, Lisa LCPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2008 |
| Last updated | Nov 4th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174709810 | NPPES |
| Other | IL6331 | MEDICARE PTAN |
Popular Providers
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Independence Center
815 Indiana Ave , Waukegan IL 60085-2612 -
Independence Center
2835 Washington St , Waukegan IL 60085-4839 -
Independence Center
819 Indiana Ave , Waukegan IL 60085-2612 -
County Of Lake
3004 Grand Ave , Waukegan IL 60085-2321 -
County Of Lake
3010 Grand Ave. , Waukegan IL 60085 -
Independence Center
1730 Washington St , Waukegan IL 60085-5102 -
Independence Center
817 Indiana Ave , Waukegan IL 60085-2612 -
County Of Lake
3002 Grand Ave , Waukegan IL 60085-2321