| NPI | 1649156696 |
|---|---|
| Doing Business As | INDEPENDENCE HALL |
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES VAN FOSSAN President 847-917-8337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |