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Organization
LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS
Active
Organization
LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALLEN WEBSTER (SYSTEM SUPPORT ANALYST)
(708) 907-1583
Entity
Organization
Contact information
Practice address
2826 N. MONROE STREET, DECATUR, IL 62526
(217) 428-8380
Mailing address
ONE OAKBROOK TERRACE, SUITE #501, OAKBROOK TERRACE, IL 60181
(708) 771-7180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
253J00000X
Foster Care Agency
12998-11
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05-CHR-025
—
IL
Enumeration date
04/14/2017
Last updated
11/11/2022
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