Supported Independence

LBN: Supported Independence
Supported Independence is an health care organization with primary practice located at 17009 Elm Drive , Hazel Crest IL 60429. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Supported Independence can be contacted via phone (630) 667-7370, or through Luckett, Jessica via phone (630) 667-7370.

Contact Information

Primary practice address
17009 Elm Drive Hazel Crest IL 60429
Phone: (630) 667-7370
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luckett, Jessica
Phone: (630) 667-7370

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1649548405
LBN Legal business name Supported Independence
DBA Doing business as
Authorized official Luckett, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2011
Last updated Dec 8th, 2011 - about 14 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.

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