| Lutheran Child And Family Service Of Illinois | |
|
150 N Schuyler Ave Suites 200-202, Second Floor Kankakee IL 60901-3839 | |
| (815) 929-1970 | |
| (815) 929-1987 |
| Full Name | Lutheran Child And Family Service Of Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 150 N Schuyler Ave, Kankakee, Illinois |
| Authorized Official Name and Position | James Allen Webster (SYSTEM SUPPORT SPECIALIST) |
| Authorized Official Contact | 7089071583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 150 N Schuyler Ave Suites 200-202, Second Floor Kankakee IL 60901-3839 Ph: (815) 929-1970 |
| NPI Number | 1902203540 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902203540 | NPI | - | NPPES |
| 2B05-CHR-025 | Medicaid | IL |
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