| Lutheran Child And Family Service Of Illinois | |
|
618 S. 42nd St Mt Vernon IL 62864 | |
| (618) 242-3284 | |
| (618) 242-3288 |
| Full Name | Lutheran Child And Family Service Of Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 618 S. 42nd St, Mt Vernon, 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 |
|---|---|
| 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 618 S. 42nd St Mt Vernon IL 62864 Ph: (618) 242-3284 |
| NPI Number | 1497084347 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497084347 | NPI | - | NPPES |
| 2B05-CHR-025 | Medicaid | IL |
Mt Vernon Community Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2920 Veterans Parkway, Mt Vernon, IL 62864 Phone: 618-244-6544 Fax: 618-244-6577 | |
Dynamic Counseling And Consultation Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3600 S Water Tower Pl, Mt Vernon, IL 62864 Phone: 314-719-6263 Fax: 800-335-4761 | |
Substance Abuse Outpatient Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16338 N Il Hwy 37, Mt Vernon, IL 62864 Phone: 618-242-1994 Fax: 618-242-6392 | |
Jefferson County Comprehensive Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16342 N Il Hwy 37, Mt Vernon, IL 62864 Phone: 618-242-1510 Fax: 618-242-0958 |