Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
Washington Prader Willi
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GREERANN LOVETTE SIMS (BUSINESS MANAGER)
(847) 390-1422
Entity
Organization
Contact information
Practice address
612 WASHINGTON ST, BEARDSTOWN, IL 62618-1541
(217) 323-5367
(217) 323-3791
Mailing address
1001 E TOUHY AVE STE 50, DES PLAINES, IL 60018-5817
(847) 390-1422
(847) 297-3407
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04092
—
IL
Enumeration date
01/24/2024
Last updated
11/22/2024
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