Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
Nachusa Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD NOONAN (CHIEF FINANCIAL OFFICER)
(847) 635-4600
Entity
Organization
Contact information
Practice address
1261 ILLINOIS ROUTE# 38, PHOENIX UNIT, NACHUSA, IL 61057-0100
(815) 284-7796
(815) 284-2537
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
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
A-0286-0018-A
IL
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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