Lutheran Social Services Of Illinois | |
544 S. Cornell St. Villa Park IL 60181 | |
(630) 993-0100 | |
(630) 472-1830 |
Full Name | Lutheran Social Services Of Illinois |
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Speciality | Community/behavioral Health |
Location | 544 S. Cornell St., Villa Park, Illinois |
Authorized Official Name and Position | Jaclyn S. Hovde (PROGRAM DIRECTOR) |
Authorized Official Contact | 6309930100 |
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 1927 E Illinois St Wheaton IL 60187-5937 Ph: (630) 665-9208 | Lutheran Social Services Of Illinois 544 S. Cornell St. Villa Park IL 60181 Ph: (630) 993-0100 |
NPI Number | 1528193737 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528193737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Illinois) | Primary |
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