Lutheran Child And Family Service Of Illinois | |
51 W Jackson St Joliet IL 60432-1729 | |
(815) 409-4440 | |
Not Available |
Full Name | Lutheran Child And Family Service Of Illinois |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 51 W Jackson St, Joliet, Illinois |
Authorized Official Name and Position | James Allen Webster (SYSTEM SUPPORT ANALYST) |
Authorized Official Contact | 7089071583 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lutheran Child And Family Service Of Illinois 1 Oakbrook Ter Ste 501 Oakbrook Terrace IL 60181-4479 Ph: (708) 771-7180 | Lutheran Child And Family Service Of Illinois 51 W Jackson St Joliet IL 60432-1729 Ph: (815) 409-4440 |
NPI Number | 1164820460 |
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Provider Enumeration Date | 12/18/2014 |
Last Update Date | 06/14/2024 |
Certification Date | 12/14/2023 |
Identifier | Type | State | Issuer |
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1164820460 | NPI | - | NPPES |
2B05-CHR-025 | Medicaid | IL |
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