Organization
LUTHERAN SOCIAL SERVICES OF IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STUTRUD (PRESIDENT)
(847) 635-4600
Entity
Organization
Contact information
Practice address
308 W STATE ST STE 250, ROCKFORD, IL 61101-1140
(815) 969-8836
(815) 969-8871
Mailing address
1001 E TOUHY AVE STE 50, DES PLAINES, IL 60018-5817
(847) 635-4600
(847) 635-6764
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04092
IL
Other
Enumeration date
06/03/2010
Last updated
09/05/2025
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