| Lutheran Child And Family Service Of Illinois | |
|
1400 N. 30th St Quincy IL 62301 | |
| (217) 722-1450 | |
| Not Available |
| Full Name | Lutheran Child And Family Service Of Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1400 N. 30th St, Quincy, 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 One Oakbrook Terrace Suite #501 Oakbrook Terrace IL 60181 Ph: (708) 771-7180 | Lutheran Child And Family Service Of Illinois 1400 N. 30th St Quincy IL 62301 Ph: (217) 722-1450 |
| NPI Number | 1356969471 |
|---|---|
| Provider Enumeration Date | 07/07/2020 |
| Last Update Date | 11/11/2022 |
| Certification Date | 11/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356969471 | NPI | - | NPPES |
| 2B05-CHR-025 | Medicaid | IL |
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