Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J. SHEEHAN (VICE PRESIDENT)
(847) 635-4600
Entity
Organization
Contact information
Practice address
5825 W BELMONT AVE, CHICAGO, IL 60634-5203
(773) 745-9870
(773) 745-9892
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
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/03/2008
Last updated
01/26/2018
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