Independence Center, Inc.
NPI 1174709810 · Community/Behavioral Health Agency · Waukegan, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Independence Center, Inc. is a Community/Behavioral Health Agency organization in Waukegan, IL (NPI 1174709810).
Provider details
- NPI number
- 1174709810
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lisa Johnson, Executive Director(847) 360-1020
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
Residential Treatment Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-01-11
- Last updated
- 2016-11-04
Frequently asked questions
- What is Independence Center, Inc.'s NPI number?
- Independence Center, Inc.'s National Provider Identifier (NPI) is 1174709810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independence Center, Inc.?
- Independence Center, Inc. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Independence Center, Inc. located?
- Independence Center, Inc.'s practice location on file with NPPES is 2025 Washington St, Waukegan, IL 60085-5131.
- What is Independence Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Independence Center, Inc. is (847) 360-1020.
- Does Independence Center, Inc. accept Medicare?
- Independence Center, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Independence Center, Inc.?
- The authorized official listed on Independence Center, Inc.'s NPPES record is Lisa Johnson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independence Center, Inc.'s NPI active?
- Yes — Independence Center, Inc.'s NPI (1174709810) is active in the NPPES registry as of the last update on 2016-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.