Organization
LUTHERAN SOCIAL SERVICES OF IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SHEEHAN (VP OF HOME AND COMMUNITY SVCS)
(773) 443-3562
Entity
Organization
Contact information
Practice address
102 E DEYOUNG ST STE B, MARION, IL 62959-2724
(618) 997-9076
Mailing address
1001 E TOUHY AVE STE 170, DES PLAINES, IL 60018-5800
(847) 635-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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