Lutheran Child & Family Services Of Illinois | |
711 Insight Ave O Fallon IL 62269-2149 | |
(618) 234-8904 | |
(618) 234-0218 |
Full Name | Lutheran Child & Family Services Of Illinois |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 711 Insight Ave, O Fallon, 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 & Family Services Of Illinois 1 Oakbrook Ter Ste 501 Oakbrook Terrace IL 60181-4479 Ph: (708) 771-7180 | Lutheran Child & Family Services Of Illinois 711 Insight Ave O Fallon IL 62269-2149 Ph: (618) 234-8904 |
NPI Number | 1750610846 |
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Provider Enumeration Date | 12/18/2009 |
Last Update Date | 06/14/2024 |
Certification Date | 06/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750610846 | NPI | - | NPPES |
2B05-CHR-025 | Medicaid | IL |
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