Lutheran Social Services Of Illinois | |
12940 Western Ave Ste 300 Blue Island IL 60406-4154 | |
(708) 489-2894 | |
(708) 489-5413 |
Full Name | Lutheran Social Services Of Illinois |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 12940 Western Ave Ste 300, Blue Island, 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 Illinois 1001 E Touhy Ave Ste 50 Des Plaines IL 60018-5817 Ph: (847) 635-4600 | Lutheran Social Services Of Illinois 12940 Western Ave Ste 300 Blue Island IL 60406-4154 Ph: (708) 489-2894 |
NPI Number | 1710599956 |
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Provider Enumeration Date | 08/19/2020 |
Last Update Date | 08/19/2020 |
Certification Date | 08/19/2020 |
Identifier | Type | State | Issuer |
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1710599956 | NPI | - | NPPES |
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