Organization
INDEPENDENT LIVING SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY HANSON (PRESIDENT)
(773) 478-8450
Entity
Organization
Contact information
Practice address
6327 N PULASKI RD, CHICAGO, IL 60646-4511
(773) 478-8450
Mailing address
6327 N PULASKI RD, CHICAGO, IL 60646-4511
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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