Supported Independence
Supported Independence is a Community/Behavioral Health Agency in Hazel Crest, Illinois. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
17009 Elm DrHazel Crest, IL 60429
Phone: (630) 667-7370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1649548405 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Luckett — President · (630) 667-7370 |
| NPI enumerated | December 8, 2011 |
| Last updated in NPPES | December 8, 2011 |
| Mailing address | 17900 Elm Drive, Hazel Crest, IL 60429 |
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