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Independence Center, Inc.
Mental Illness Community Based Residential Treatment Facility in Waukegan, Illinois
NPI 1174709810

Independence Center, Inc. is a Mental Illness Community Based Residential Treatment Facility based in Waukegan, IL. Independence Center, Inc. practices in Waukegan, IL. The NPI Number for Independence Center, Inc. is 1174709810 and holds a License No. (Illinois).

The current practice location address for Independence Center, Inc. is 2025 Washington St, Waukegan, IL and can be reached out via phone at 847-360-1020 and via fax at 847-360-1065.

Location: 2025 Washington St, Waukegan, IL, 60085-5131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174709810
Provider Name
Independence Center, Inc.
Credential
Provider Entity Type
Organization
Address
2025 Washington St, Waukegan, IL, 60085-5131
Phone Number
847-360-1020
Fax Number
847-360-1065
Provider Enumeration Date
01/11/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL6331 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2025 Washington St
City
Waukegan
State
Illinois
Zip
60085-5131
Phone Number
847-360-1020
Fax Number
847-360-1065
person
Provider Business Mailing Address Details
Address
2025 Washington St
City
Waukegan
State
Illinois
Zip
60085-5131
Phone Number
847-360-1020
Fax Number
847-360-1065
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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