Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
LSSI Integrated Health Home
Organization subpart
No
Provider details
NPI number
Authorized official
GREERANN LOVETTE HAMBLET (BUSINESS MANAGER)
(847) 390-1422
Entity
Organization
Contact information
Practice address
4840 W BYRON ST, CHICAGO, IL 60641-2712
(773) 282-7800
(773) 282-2163
Mailing address
1001 E TOUHY AVE STE 170, DES PLAINES, IL 60018-5800
(847) 390-4422
(847) 297-3407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251B00000X
Case Management Agency
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/02/2018
Last updated
10/05/2018
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