Lutheran Child And Family Services Of Illinois | |
9730 S Western Ave Ste 418 Evergreen Park IL 60805-2777 | |
(773) 753-0600 | |
(773) 753-1255 |
Full Name | Lutheran Child And Family Services Of Illinois |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 9730 S Western Ave Ste 418, Evergreen Park, 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 |
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Lutheran Child And Family Services Of Illinois 1 Oakbrook Ter Ste 501 Oakbrook Terrace IL 60181-4479 Ph: (708) 771-7180 | Lutheran Child And Family Services Of Illinois 9730 S Western Ave Ste 418 Evergreen Park IL 60805-2777 Ph: (773) 753-0600 |
NPI Number | 1780449181 |
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Provider Enumeration Date | 02/15/2024 |
Last Update Date | 02/15/2024 |
Certification Date | 02/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780449181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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