Supported Independence

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

SUPPORTED INDEPENDENCE

Practice address

30 S Wacker Dr
Suite 2200
Chicago, IL 60606-7413

Phone

(630) 667-7370

Fax

(312) 466-5601

NPI assigned

May 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jessica Luckett

Title

President

Phone

(630) 667-7370

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1356633267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S WACKER DR",
            "address_2": "SUITE 2200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606067413",
            "telephone_number": "630-667-7370",
            "fax_number": "312-466-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S WACKER DR",
            "address_2": "SUITE 2200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606067413",
            "telephone_number": "630-667-7370",
            "fax_number": "312-466-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTED INDEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-667-7370",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Supers, PHARMD
• Andrew Suplicki
• Julie A Supple, LCSW
• Matthew Supple
• Supplemental Health Care
• Supported Independence
• Supportive Services Agency, LLC
• Supportive Steps to Recovery
• Suppported Independence
• Supreme Home Healthcare LLC

• Private Vehicle in Chicago, IL
• Providers in Chicago, IL by specialty
• Private Vehicle in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.