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INDEPENDENCE CENTER
NPI 1235308057
Community Based Residential Treatment Facility, Mental Illness in Waukegan, IL

Active since February 26, 2008
817 INDIANA AVE, WAUKEGAN, IL 60085(847) 360-1020 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Independence Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE CENTER (NPI 1235308057) is a healthcare organization registered as a community based residential treatment facility, mental illness in Waukegan, Illinois and active in the NPI registry since February 2008. The organization lists Michael Pierce, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235308057
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameINDEPENDENCE CENTER
Location Address817 INDIANA AVEWaukegan, IL 60085-2612
Mailing Address2025 Washington StWaukegan, IL 60085-5131
Phone(847) 360-1020
Organization SubpartNo
Authorized OfficialMichael PierceExecutive Director · (847) 244-4442
Enumeration DateFebruary 26, 2008
Last NPPES UpdateAugust 3, 2011
✔ NPI 1235308057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
817 INDIANA AVE, Waukegan, IL 60085
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Other Identifiers 1

Medicare PIN144643IL

Frequently Asked Questions

What is INDEPENDENCE CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1235308057, enumerated as an "organization" on February 26, 2008.

Where is the provider located?

The provider is located at 817 INDIANA AVE WAUKEGAN, IL 60085 and the phone number is (847) 360-1020.

What is the provider's specialty?

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

What insurance does INDEPENDENCE CENTER accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.