| Independence Center | |
|
320 N Ash St Waukegan IL 60085-3985 | |
| (847) 360-1020 | |
| Not Available |
| Full Name | Independence Center |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 320 N Ash St, Waukegan, Illinois |
| Authorized Official Name and Position | Michael Pierce (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8472444442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Center 2025 Washington St Waukegan IL 60085-5131 Ph: () - | Independence Center 320 N Ash St Waukegan IL 60085-3985 Ph: (847) 360-1020 |
| NPI Number | 1619146420 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619146420 | NPI | - | NPPES |
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