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Independence Center, Inc.

Community/Behavioral Health Agency in Waukegan, IL · enumerated 2008 · authorized official Lisa Johnson, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174709810

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Registry record

Entity type Organization (Type 2)
Legal business name Independence Center, Inc.
Practice address 2025 Washington St, Waukegan, IL, 60085
Phone (847) 360-1020
Fax (847) 360-1065
Enumeration date Jan 11, 2008
Last updated in NPPES Nov 4, 2016

Taxonomy & classification

251B00000X Case Management Agency Agencies Secondary
251S00000X Community/Behavioral Health Agency Agencies Primary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Lisa Johnson
Title Executive Director
Phone (847) 360-1020

Other identifiers

Identifier Type State Issuer
IL6331 Other - MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Independence Center, Inc.?
The NPI for Independence Center, Inc. is 1174709810, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Independence Center, Inc.?
NPPES lists Lisa Johnson (Executive Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-04.