| Lutheran Social Services Of Illinois | |
|
1901 1st Ave Sterling IL 61081-1203 | |
| (815) 626-7333 | |
| (815) 626-8752 |
| Full Name | Lutheran Social Services Of Illinois |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1901 1st Ave, Sterling, Illinois |
| Authorized Official Name and Position | David Jensen (COO/PRESIDENT) |
| Authorized Official Contact | 8476354600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Services Of Illinois 1001 E Touhy Ave Suite# 170 Des Plaines IL 60018-5801 Ph: (847) 390-1422 | Lutheran Social Services Of Illinois 1901 1st Ave Sterling IL 61081-1203 Ph: (815) 626-7333 |
| NPI Number | 1104235415 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104235415 | NPI | - | NPPES |
| 149015740 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149015740 (Illinois) | Primary |
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