Organization
LUTHERAN SOCIAL SERVICE OF IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STUTRUD (PRESIDENT)
(847) 635-4600
Entity
Organization
Contact information
Practice address
1340 S DAMEN AVE STE 205, CHICAGO, IL 60608-1170
(312) 949-4340
(312) 243-1866
Mailing address
1001 E TOUHY AVE, SUITE 50, DES PLAINES, IL 60018-5801
(847) 635-4600
(847) 635-6764
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04092
IL
Other
Enumeration date
06/03/2010
Last updated
01/08/2020
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