INDEPENDENCE CENTER
NPI: 1619146420
· WAUKEGAN, IL 60085
· Community/Behavioral Health Agency
· NPI assigned 02/26/2008
Deactivated NPI
· This NPI was deactivated on 03/31/2008. Reactivated 08/03/2011.
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PIERCE, MICHAEL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/26/2008 |
Related Entities
Other providers sharing the same authorized official: PIERCE, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,955 |
$0.00 |
| 2020 |
2,955 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| W00R2 |
|
5,910 |
197 |
$0.00 |