Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
Welcoming Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY NOONAN (CHIEF FINANCIAL OFFICER)
(847) 635-4600
Entity
Organization
Contact information
Practice address
5215 N CALIFORNIA AVE, SUITE F101, CHICAGO, IL 60625-7014
(773) 989-1609
(773) 989-1645
Mailing address
1001 E TOUHY AVE, SUITE 170, DES PLAINES, IL 60018-5801
(847) 390-1422
(847) 297-3314
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/06/2015
Last updated
03/10/2015
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