Provider Demographics
NPI:1457591802
Name:INDEPENDENCE PLUS INC
Entity Type:Organization
Organization Name:INDEPENDENCE PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:LES
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-366-4500
Mailing Address - Street 1:800 JORIE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2252
Mailing Address - Country:US
Mailing Address - Phone:708-366-4500
Mailing Address - Fax:630-954-0091
Practice Address - Street 1:800 JORIE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2252
Practice Address - Country:US
Practice Address - Phone:708-366-4500
Practice Address - Fax:708-366-4553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000138251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0001620242OtherBLUE CROSS BLUE SHIELD OF ILLINOIS