Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
Keystone Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD NOONAN (CHIEF FINANCIAL OFFICER)
(847) 635-4600
Entity
Organization
Contact information
Practice address
4152 N KEYSTONE AVE, CHICAGO, IL 60641-2436
(773) 283-9071
(773) 283-9185
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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