| Lutheran Social Services Of Il | |
|
700 E Oak St Suite 203 Canton IL 61520-3157 | |
| (309) 647-3325 | |
| (309) 647-0262 |
| Full Name | Lutheran Social Services Of Il |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 700 E Oak St, Canton, Illinois |
| Authorized Official Name and Position | Gerald E Noonan (V.P. FINANCE/CFO) |
| Authorized Official Contact | 8476354600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Services Of Il 1001 E Touhy Ave Suite 50 Des Plaines IL 60018-5801 Ph: (847) 635-4600 | Lutheran Social Services Of Il 700 E Oak St Suite 203 Canton IL 61520-3157 Ph: (309) 647-3325 |
| NPI Number | 1194045898 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 06/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194045898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 04092 (Illinois) | Primary |
Watson Center For Wellness Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 103 S Main St, Canton, IL 61520 Phone: 309-649-6813 | |
North Central Behavioral Health Systems, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 815-223-0160 Fax: 815-223-1634 | |
Jeanine Standard Metamorphosis Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8 S Main St, Suite 205, Canton, IL 61520 Phone: 309-740-2171 Fax: 309-740-2171 | |
Braintique Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 S Main St Ste 201, Canton, IL 61520 Phone: 309-648-9216 | |
North Central Behavioral Health Systems, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 815-223-0160 Fax: 815-223-1634 | |
Tazwood Center For Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W. Walnut Street, Canton, IL 61520 Phone: 309-647-5240 |