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1114219037
SUPPPORTED INDEPENDENCE
CHICAGO, IL
NPI
1114219037
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Entity Type
Organization
Authorized Contact
JESSICA LUCKETT
President
630-667-7370
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2011-05-11
Last Update Date
2011-05-11
Business Address
SUPPPORTED INDEPENDENCE
30 S WACKER DR SUITE 2200
CHICAGO, IL 60606-7413
Phone number: 630-667-7370
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Mailing Address
SUPPPORTED INDEPENDENCE
30 S WACKER DR SUITE 2200
CHICAGO, IL 60606-7413
Phone number: 630-667-7370
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