OrganizationActive
Independence Center
NPI 1235308057 · Mental Illness Community Based Residential Treatment Facility · Waukegan, IL
Provider details
- NPI number
- 1235308057
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Pierce, Executive Director(847) 244-4442
Specialties & taxonomies
Residential Treatment Facilities
- Case Management Agency251B00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(88/100 index)
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
817 Indiana Ave
Waukegan, IL 60085-2612
Phone: (847) 360-1020
Street-level locationGet directions
Mailing address
2025 Washington St
Waukegan, IL 60085-5131
Registry dates
- Enumerated
- 2008-02-26
- Last updated
- 2011-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.