Lutheran Social Services Of Il | |
201 W Springfield Ave Champaign IL 61820-6385 | |
(217) 398-3011 | |
(217) 398-3176 |
Full Name | Lutheran Social Services Of Il |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 201 W Springfield Ave, Champaign, Illinois |
Authorized Official Name and Position | Mark Stutrud (PRESIDENT) |
Authorized Official Contact | 8476354600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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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 201 W Springfield Ave Champaign IL 61820-6385 Ph: (217) 398-3011 |
NPI Number | 1467772160 |
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Provider Enumeration Date | 06/03/2010 |
Last Update Date | 02/16/2024 |
Certification Date | 02/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467772160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 04092 (Illinois) | Primary |
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