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Organization
LUTHERAN SOCIAL SERVICES OF IL
Active
Organization
LUTHERAN SOCIAL SERVICES OF IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SHEEHAN (VP OF HOME AND COMMUNITY SVCS)
(773) 443-3562
Entity
Organization
Contact information
Practice address
102 E DEYOUNG ST STE B, MARION, IL 62959-2724
(618) 997-9076
Mailing address
1001 E TOUHY AVE STE 170, DES PLAINES, IL 60018-5800
(847) 635-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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