LUTHERAN SOCIAL SERVICES OF ILLINOIS; NPI #1063683449

Contact Information

LUTHERAN SOCIAL SERVICES OF ILLINOIS

3120 W PALMER SQUARE
CHICAGO, IL 60647

Phone: 773-342-2055
Fax: 773-342-2512
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for LUTHERAN SOCIAL SERVICES OF ILLINOIS

NPI # 1063683449

LBN Legal business name LUTHERAN SOCIAL SERVICES OF ILLINOIS

Authorized official GERALD NOONAN - (CHIEF FINANCIAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/13/2008

Last updated 03/13/2008 - About 18 years ago

Identifiers

IL	License #	926169
IL	Other	926169	DEPT OF HUMAN SERVICES

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LUTHERAN SOCIAL SERVICES OF ILLINOIS

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for LUTHERAN SOCIAL SERVICES OF ILLINOIS

Reviews for LUTHERAN SOCIAL SERVICES OF ILLINOIS