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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. TIMOTHY J. SHEEHAN (VICE PRESIDENT)
(847) 635-4600
Entity
Organization
Contact information
Practice address
5825 W BELMONT AVE, CHICAGO, IL 60634-5203
(773) 745-9870
(773) 745-9892
Mailing address
1001 E TOUHY AVE, SUITE 170, DES PLAINES, IL 60018-5801
(847) 635-4600
(847) 297-3407
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/03/2008
Last updated
01/26/2018
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