| Lutheran Social Services Of Illinois | |
|
45 Industrial Dr Vienna IL 62995-1674 | |
| (618) 658-9512 | |
| (618) 658-8151 |
| Full Name | Lutheran Social Services Of Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 45 Industrial Dr, Vienna, 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 |
|---|---|
| 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 45 Industrial Dr Vienna IL 62995-1674 Ph: (618) 658-9512 |
| NPI Number | 1881206035 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881206035 | NPI | - | NPPES |
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