INDEPENDENCE CENTER
NPI 1336318153
Community Based Residential Treatment Facility, Mental Illness in Waukegan, IL

Q: What is Independence Center's NPI number?

The NPI number for Independence Center is 1336318153. It was assigned to this organization in the NPPES registry on February 26, 2008.

Q: What is Independence Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since February 26, 2008

1730 WASHINGTON ST, 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: August 02, 2026.

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About Independence Center NPPES

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

INDEPENDENCE CENTER (NPI 1336318153) 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

NPI1336318153

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameINDEPENDENCE CENTER

Location Address1730 WASHINGTON STWaukegan, IL 60085-5102

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 1336318153 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

1730 WASHINGTON ST, Waukegan, IL 60085

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Other Identifiers 1

Medicare PIN144643IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALFONSO R LARA

Social Worker

1730 WASHINGTON ST
WAUKEGAN, IL 60085

Lake County (224) 374-8792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independence Center's NPI number?

The NPI number for Independence Center is 1336318153. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is Independence Center located?

Independence Center is located at 1730 Washington St, Waukegan, IL 60085. The listed phone number is (847) 360-1020.

What is Independence Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Independence Center was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.