INDEPENDENCE HEALTH & THERAPY (NPI# 1376009753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376009753 |
Entity Type | Organization |
Organization Name | INDEPENDENCE HEALTH & THERAPY |
Practice Address |
708 Washington St Woodstock IL 60098-2265 |
Mailing Address |
2028 N Seminary Ave Woodstock IL 60098-2626 |
Practice Telephone | 8153381707 |
Mailing Telephone | 8153383590 |
Enumeration Date | 2019-02-11 |
Last Update Date | 2019-02-11 |
Authorized Official Name | MARY FISHER (FINANCE DIRECTOR) |
Authorized Official Telephone | 8153383590 |
Is Organization Subpart | Y |
Parent Organization Name | INDEPENDENCE HEALTH & THERAPY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508277666 | Independence Health & Therapy | Clinic/Center | 12555 Farm Hill Dr, Suite 800, Huntley, IL 60142-7723 | 2014-05-12 |
1184744625 | Independence Health & Therapy | Occupational Therapist | 708 Washington St., Woodstock, IL 60098 | 2007-03-29 |
1598717597 | Independence Health & Therapy | Clinic/Center | 2028 N Seminary Ave, Woodstock, IL 60098-2626 | 2006-05-17 |
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 | 60098-2265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295781557 | The Adult and Child Rehab Center for Mchenry County, Inc. | Clinic/Center | 708 Washington St, Woodstock, IL 60098-2265 | 2006-05-26 |
1336648443 | Alexis Marie Irazoque | Speech-Language Pathologist | 708 Washington St, Woodstock, IL 60098-2265 | 2018-02-04 |
1770093288 | Rebecca Hanover | Physical Therapy Assistant | 708 Washington St, Woodstock, IL 60098-2265 | 2017-10-10 |
1679924062 | Michelle Anne Los | Speech-Language Pathologist | 708 Washington St, Woodstock, IL 60098-2265 | 2016-06-27 |
1164880480 | Maria Samantha Quinain | Physical Therapist | 708 Washington St, Woodstock, IL 60098-2265 | 2016-02-01 |
1962820746 | Shannon Guzick | Physical Therapy Assistant | 708 Washington St, Woodstock, IL 60098-2265 | 2014-03-31 |
1710274683 | Adrienne Martinez | Physical Therapist | 708 Washington St, Woodstock, IL 60098-2265 | 2011-06-29 |
1164723375 | Dorothea Ellen Gilliland | Speech-Language Pathologist | 708 Washington St, Woodstock, IL 60098-2265 | 2010-11-04 |
1306146881 | Carol Amy Spano | Occupational Therapist | 708 Washington St, Woodstock, IL 60098-2265 | 2010-10-29 |
1588836076 | Maria Nicole Bicouvaris | Speech-Language Pathologist | 708 Washington St, Woodstock, IL 60098-2265 | 2008-03-25 |
Find all providers in the same location |
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 | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093338246 | Association for Individual Development | Clinic/Center | 1201 Dean St Lowr Level, Woodstock, IL 60098-3803 | 2020-05-22 |
1366906778 | Center for Authentic Life & Relationship, LLC | Clinic/Center | 1426 Olde Forge Ln, Woodstock, GA 30189-1553 | 2019-01-30 |
1508341413 | Resiliency Therapy Services | Clinic/Center | 213 Highland Park Pt, Woodstock, GA 30188-4897 | 2018-09-26 |
1952858557 | Tranquility Counseling Services | Clinic/Center | 8744 Main Street, 303, Woodstock, GA 30188 | 2016-09-01 |
1083861975 | The Thresholds | Clinic/Center | 3909 Raycraft Rd, Woodstock, IL 60098-8307 | 2008-08-21 |
1962036921 | Northern Illinois Medical Center | Clinic/Center | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2020-02-28 |
1285278432 | Pioneer Center for Human Services | Clinic/Center | 13707 W Jackson St, Woodstock, IL 60098-3188 | 2019-10-31 |
1912551490 | Next Level Counseling and Wellness LLC | Clinic/Center | 226 W Judd St, Woodstock, IL 60098-3158 | 2019-08-01 |
1295215606 | Flow of Wellness LLC | Clinic/Center | 205 River Park North Dr, Woodstock, GA 30188-7835 | 2018-08-15 |
1952890105 | Rose Kihara Nurse Practitioner LLC | Clinic/Center | 39 Route 171, Woodstock, CT 06281 | 2018-05-03 |
Find all providers in WOODSTOCK |
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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.