Organization
INDEPENDENCE PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LES JOHN WEISS (DIRECTOR OF FINANCE)
(708) 366-4500
Entity
Organization
Contact information
Practice address
800 JORIE BLVD STE 100, OAK BROOK, IL 60523-2252
(708) 366-4500
(708) 366-4553
Mailing address
800 JORIE BLVD STE 100, OAK BROOK, IL 60523-2252
(708) 366-4500
(630) 954-0091
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4000138
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001620242
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
02/25/2009
Last updated
10/18/2023
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