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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. DAVID JENSEN (COO/PRESIDENT)
(847) 635-4600
Entity
Organization
Contact information
Practice address
1901 1ST AVE, STERLING, IL 61081-1203
(815) 626-7333
(815) 626-8752
Mailing address
1001 E TOUHY AVE, SUITE# 170, DES PLAINES, IL 60018-5801
(847) 390-1422
(847) 297-3407
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015740
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149015740
STATE LICENSE
IL
Enumeration date
08/12/2014
Last updated
08/12/2014
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