| Lutheran Child & Family Services Of Illinois | |
|
400 S 9th St Ste 202 Springfield IL 62701-1998 | |
| (217) 544-4631 | |
| (217) 544-0412 |
| Full Name | Lutheran Child & Family Services Of Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 400 S 9th St Ste 202, Springfield, 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 & Family Services Of Illinois 1 Oakbrook Ter Ste 501 Oakbrook Terrace IL 60181-4479 Ph: (708) 771-7180 | Lutheran Child & Family Services Of Illinois 400 S 9th St Ste 202 Springfield IL 62701-1998 Ph: (217) 544-4631 |
| NPI Number | 1588993430 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588993430 | NPI | - | NPPES |
| 2B05-CHR-025 | Medicaid | IL |
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