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Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STUTRUD (PRESIDENT)
(847) 635-4600
Entity
Organization
Contact information
Practice address
85 HANKES AVE, AURORA, IL 60505-1774
(630) 896-2714
(630) 896-5613
Mailing address
1001 E TOUHY AVE, SUITE 50, DES PLAINES, IL 60018-5801
(847) 635-4600
(847) 635-4764
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04092
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04092
—
IL
Enumeration date
07/18/2015
Last updated
01/03/2020
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