Organization
INDEPENDENCE HEALTH & THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FISHER (FINANCE DIRECTOR)
(815) 338-3590
Entity
Organization
Contact information
Practice address
461 PIERSON ST, CRYSTAL LAKE, IL 60014-5772
(815) 338-3590
Mailing address
2028 N SEMINARY AVE, WOODSTOCK, IL 60098-2626
(815) 333-8650
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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