National Provider Identifier Database

LUTHERAN SOCIAL SERVICES OF ILLINOIS
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

LUTHERAN SOCIAL SERVICES OF ILLINOIS
4840 W BYRON ST
CHICAGO, IL60641-2712
Phone: 773-282-7800
Fax: 773-282-2163
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for LUTHERAN SOCIAL SERVICES OF ILLINOIS

NPI Number 1265676597
Legal business name
LBN
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Authorized official GERALD NOONAN - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 04/30/2009
Last updated 04/30/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 036091774
  • IL Medicaid: 036092099
  • IL Medicaid: 036094832
  • IL Medicaid: 036095776
  • IL Medicaid: 036105330
  • IL Medicaid: 036111400
  • IL Medicaid: 036113899

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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