Provider Demographics
NPI:1720244296
Name:INDEPENDENCE PLUS, INC.
Entity Type:Organization
Organization Name:INDEPENDENCE PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HME SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:KEATING
Authorized Official - Suffix:
Authorized Official - Credentials:CRT RCP
Authorized Official - Phone:800-366-7696
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:800-366-7696
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:630-463-4400
Practice Address - Fax:630-368-0522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203000974332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========003Medicaid
IL6084630001Medicare NSC