INDEPENDENCE HEALTH & THERAPY


Address: 2028 N Seminary Ave, Woodstock, IL 60098-2626
Phone: 8153383590

INDEPENDENCE HEALTH & THERAPY (NPI# 1598717597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598717597
Entity Type Organization
Organization Name INDEPENDENCE HEALTH & THERAPY
Other Organization Name FAMILY ALLIANCE INC
Practice Address 2028 N Seminary Ave
Woodstock
IL 60098-2626
Practice Telephone 8153383590
Practice Fax Number 8153374406
Mailing Telephone 8153383590
Mailing Fax Number 8153374406
Enumeration Date 2006-05-17
Last Update Date 2018-11-13
Authorized Official Name MARY FISHER (FINANCE DIRECTOR)
Authorized Official Telephone 8153383590
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
IL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Family Alliance Inc Former Legal Business Name - Organization

Other Provider IDs and Locations

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
1376009753 Independence Health & Therapy Counselor 708 Washington St, Woodstock, IL 60098-2265 2019-02-11

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities INDEPENDENCE HEALTH & THERAPY 12555 Farm Hill Dr # 800, Huntley, IL 60142-7723

Office Location

Street Address 2028 N SEMINARY AVE
City WOODSTOCK
State IL
Zip Code 60098-2626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235697954 Ryan M Sheehan Social Worker 2028 N Seminary Ave, Woodstock, IL 60098-2626 2019-03-12
1184159642 Meredith Foydl Counselor 2028 N Seminary Ave, Woodstock, IL 60098-2626 2017-04-21
1255882106 Stephanie N Bunch Social Worker 2028 N Seminary Ave, Woodstock, IL 60098-2626 2016-10-16
1942661491 Maria Morrill Counselor 2028 N Seminary Ave, Woodstock, IL 60098-2626 2016-03-11
1982075438 Todd Michael Tedrow Social Worker 2028 N Seminary Ave, Woodstock, IL 60098-2626 2015-10-09
1346638921 Linda Strueber Social Worker 2028 N Seminary Ave, Woodstock, IL 60098-2626 2015-01-05
1548687817 Jaclyn Kroeger Social Worker 2028 N Seminary Ave, Woodstock, IL 60098-2626 2014-03-25
1639404908 Katherine Eileen Johnson Social Worker 2028 N Seminary Ave, Woodstock, IL 60098-2626 2009-10-05
1992956619 Nicole Suzanne O'dea Social Worker 2028 N Seminary Ave, Woodstock, IL 60098-2626 2008-10-01
1962500140 Karen Brenda Kreiner Psychiatry & Neurology 2028 N Seminary Ave, Woodstock, IL 60098-2626 2006-09-20
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City WOODSTOCK
Zip Code 60098

Improve Information

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Dataset Information

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.

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