Provider Demographics
NPI:1104647031
Name:STRIVE FOR INDEPENDENCE, INC
Entity type:Organization
Organization Name:STRIVE FOR INDEPENDENCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER, DRIVER REHAB SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEGBERG
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CDRS
Authorized Official - Phone:630-984-1919
Mailing Address - Street 1:1919 S HIGHLAND AVE STE 119C
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-6134
Mailing Address - Country:US
Mailing Address - Phone:630-984-1919
Mailing Address - Fax:
Practice Address - Street 1:1919 S HIGHLAND AVE STE 119C
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6134
Practice Address - Country:US
Practice Address - Phone:630-984-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224ZR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantDriving and Community MobilityGroup - Single Specialty