OrganizationActive
Independent Provider
NPI 1558718023 · Early Intervention Provider Agency · Chicago, IL
Independent Provider is a Early Intervention Provider Agency organization in Chicago, IL (NPI 1558718023).
Provider details
- NPI number
- 1558718023
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kathleen Moloney, Speech-Language Pathologist(773) 759-2403
- License
- 242003723 (IL)
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
3800 W 106th St
Chicago, IL 60655-3815
Phone: (773) 759-2403
Street-level locationGet directions
Mailing address
3800 W 106th St
Chicago, IL 60655-3815
Registry dates
- Enumerated
- 2016-05-15
- Last updated
- 2016-05-15
Frequently asked questions
- What is Independent Provider's NPI number?
- Independent Provider's National Provider Identifier (NPI) is 1558718023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independent Provider?
- Independent Provider is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Independent Provider located?
- Independent Provider's practice location on file with NPPES is 3800 W 106th St, Chicago, IL 60655-3815.
- What is Independent Provider's phone number?
- The practice phone number listed in the NPPES registry for Independent Provider is (773) 759-2403.
- Who is the authorized official for Independent Provider?
- The authorized official listed on Independent Provider's NPPES record is Kathleen Moloney, Speech-Language Pathologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independent Provider's NPI active?
- Yes — Independent Provider's NPI (1558718023) is active in the NPPES registry as of the last update on 2016-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.