Organization
PROGRESSIVE INDEPENDENCE, LLC
Active
Other names
101 Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A LOPEZ (OWNER)
(847) 551-5911
Entity
Organization
Contact information
Practice address
34W920 DUCHESNE DR, DUNDEE, IL 60118-3125
(224) 558-7599
Mailing address
34W920 DUCHESNE DR, DUNDEE, IL 60118-3125
(224) 558-7599
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
05/09/2024
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