LUTHERAN SOCIAL SERVICES OF ILLINOIS CHICAGO, IL

Contact Information

LUTHERAN SOCIAL SERVICES OF ILLINOIS

4840 W BYRON ST
CHICAGO, IL 60641-2712

Phone: 773-282-7800
Fax: 773-282-2163
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Child & Adolescent Psychiatry	2084P0804X	86	Physician/Neuropsychiatry
Psychiatry	2084P0800X	26	Physician/Psychiatry

Indicates primary specialty

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NPI Profile & details for LUTHERAN SOCIAL SERVICES OF ILLINOIS · (Female)

NPI Number	`1265676597`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/30/2009
Last updated	04/30/2009 - About 17 years ago
Sole proprietor ¹	Not specified
Identifiers	IL Medicaid 036091774 IL Medicaid 036092099 IL Medicaid 036094832 IL Medicaid 036095776 IL Medicaid 036105330 IL Medicaid 036111400 IL Medicaid 036113899
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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LUTHERAN SOCIAL SERVICES OF ILLINOISChild & Adolescent Psychiatry

Contact Information

Specialty

Child & Adolescent Psychiatry

Psychiatry

NPI Profile & details for LUTHERAN SOCIAL SERVICES OF ILLINOIS · (Female)

Reviews for LUTHERAN SOCIAL SERVICES OF ILLINOIS

LUTHERAN SOCIAL SERVICES OF ILLINOIS
Child & Adolescent Psychiatry