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Organization

LUTHERAN SOCIAL SERVICES OF ILLINOIS

Active
Other names
Prisoner & Family Ministry
Organization subpart
No

Provider details

NPI number
Authorized official
GREERANN HAMBLET (BUSINESS MANAGER)
(847) 390-1422
Entity
Organization

Contact information

Practice address
402 KISHWAUKEE ST, STE 101, ROCKFORD, IL 61104-2041
(815) 964-8637
Mailing address
1001 E TOUHY AVE, STE 170, DES PLAINES, IL 60018-5801

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
05/29/2015
Last updated
05/29/2015
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