INDEPENDENCE HEALTH & THERAPY (NPI# 1184744625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184744625 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE HEALTH & THERAPY |
| Other Organization Name | ADULT & CHILD REHABILITATION CENTER FOR MCHENRY COUNTY ILLINOIS |
| Practice Address |
708 Washington St. Woodstock IL 60098 |
| Mailing Address |
2028 N. Seminary Ave. Woodstock IL 60098 |
| Practice Telephone | 8153381707 |
| Practice Fax Number | 8153381786 |
| Mailing Telephone | 8153383590 |
| Mailing Fax Number | 8153374406 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | MRS. KIMBERLY LARSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8153338657 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | Y |
| Parent Organization Name | INDEPENDENCE HEALTH & THERAPY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 251K00000X | Public Health or Welfare | 1747736 | IL | Agencies |
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
1747736 | IL | Ambulatory Health Care Facilities |
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 362264411001 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 05615103 | 01 |
| Other Name | Type Code |
|---|---|
| Adult & Child Rehabilitation Center for McHenry County Illinois | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508277666 | Independence Health & Therapy | Clinic/Center | 12555 Farm Hill Dr, Suite 800, Huntley, IL 60142-7723 | 2014-05-12 |
| 1598717597 | Independence Health & Therapy | Clinic/Center | 2028 N Seminary Ave, Woodstock, IL 60098-2626 | 2006-05-17 |
| 1376009753 | Independence Health & Therapy | Counselor | 708 Washington St, Woodstock, IL 60098-2265 | 2019-02-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDEPENDENCE HEALTH & THERAPY | 12555 Farm Hill Dr # 800, Huntley, IL 60142-7723 |
| Street Address |
708 WASHINGTON ST. |
| City | WOODSTOCK |
| State | IL |
| Zip Code | 60098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861728255 | Amy Kathleen Martinez | Occupational Therapist | 708 Washington St., Woodstock, IL 60098 | 2009-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
| 1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
| 1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
| 1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
| 1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
| 1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
| 1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
| 1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
| 1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in zip 60098 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740750181 | Cherokee County Health Department | Public Health or Welfare | 7545 Main St Bldg 100, Woodstock, GA 30188-1615 | 2018-11-28 |
| 1639123037 | Mchenry County Youth Service Bureau | Public Health or Welfare | 101 S Jefferson St, Woodstock, IL 60098-3437 | 2006-05-20 |
| 1083665020 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 494 N Main St, Suite 100, Woodstock, VA 22664-1872 | 2006-05-15 |
| 1235403361 | Shenandoah County Free Clinic | Public Health or Welfare | 781 Spring Pkwy, Woodstock, VA 22664-1605 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154880326 | Budget Energy Marketing LLC | Public Health or Welfare | 600 Holiday Plaza Dr Ste 170, Matteson, IL 60443-2241 | 2019-03-18 |
| 1487015715 | Brothers Health Collective | Public Health or Welfare | 58 E 26th St, Chicago, IL 60616-2327 | 2016-03-15 |
| 1881064681 | Walgreens Co | Public Health or Welfare | 624 Portsmouth Pl, Wheeling, IL 60090-2633 | 2015-10-06 |
| 1093115883 | Le Penseur Youth & Family Services, Inc | Public Health or Welfare | 1464 W 115th St, Chicago, IL 60643-4465 | 2014-08-28 |
| 1750799441 | Pleasant Hill-spring Creek Ems | Public Health or Welfare | 405 Bottom St, Pleasant Hill, IL 62366-2373 | 2014-07-26 |
| 1356757942 | We Care for You LLC | Public Health or Welfare | 7307 N. Alpine Road, Suite A2, Loves Park, IL 61115-1874 | 2014-07-03 |
| 1720490436 | Ford County | Public Health or Welfare | 235 N Taft St, Paxton, IL 60957-1155 | 2014-05-29 |
| 1205274602 | Noaa | Public Health or Welfare | 1136 Amherst Ct, Lake Zurich, IL 60047-2776 | 2013-06-06 |
| 1720425119 | Health Zone, LLC | Public Health or Welfare | 3647 W Lawrence Ave, Chicago, IL 60625-5625 | 2013-05-27 |
| 1508200031 | Amazing Family Resources | Public Health or Welfare | 8439 Springfield Ave, Skokie, IL 60076-2767 | 2013-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.