# LUTHERAN SOCIAL SERVICES OF ILLINOIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Behavioral Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265676597
- **Authorized official:** MR. GERALD NOONAN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (847) 635-4600

## Contact information

- **Practice address:** 4840 W BYRON ST, CHICAGO, IL 60641-2712
- **Practice address phone:** (773) 282-7800
- **Practice address fax:** (773) 282-2163
- **Mailing address:** 1001 E TOUHY AVE, SUITE\# 170, DES PLAINES, IL 60018-5801
- **Mailing address phone:** (847) 635-4600
- **Mailing address fax:** (847) 297-3407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2009
- **Last updated:** 04/30/2009