Supported Independence

Private Vehicle · Chicago, IL

Organization Active NPI

NPI number 1356633267

Practice location

30 S Wacker Dr
Suite 2200
Chicago, IL 60606-7413
Phone
(630) 667-7370
Fax
(312) 466-5601

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NPI record

NPI
1356633267
Entity type
Organization (Type 2)
Enumeration date
May 11, 2011
Last updated
May 11, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Private Vehicle Primary 347C00000X — —

Authorized official

Name
Mrs. Jessica Luckett
Title
President
Phone
(630) 667-7370

About Supported Independence

Supported Independence is a healthcare organization registered in the NPI registry with the primary taxonomy Private Vehicle (code 347C00000X). The practice location is 30 S Wacker Dr, Suite 2200, Chicago, IL 60606-7413. The NPI number 1356633267 was assigned on May 11, 2011 and the record was last updated on May 11, 2011.

The authorized official for this organization is Mrs. Jessica Luckett, President.

Frequently asked questions

What is the NPI number of Supported Independence?

The NPI number is 1356633267.

What is the phone number of Supported Independence?

The phone number listed for the practice location is (630) 667-7370.

Where is Supported Independence located?

30 S Wacker Dr, Suite 2200, Chicago, IL 60606-7413.

What is the taxonomy code for Supported Independence?

The primary taxonomy code is 347C00000X – Private Vehicle.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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