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Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD NOONAN (CHIEF FINANCIAL OFFICER)
(847) 635-4600
Entity
Organization
Contact information
Practice address
4840 W BYRON ST, CHICAGO, IL 60641-2712
(773) 282-7800
(773) 282-2163
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
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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