Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
LSSI ACA ADD ELGIN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GREERANN LOVETTE HAMBLET (BUSINESS MANAGER)
(847) 390-1422
Entity
Organization
Contact information
Practice address
675 VARSITY DR, ELGIN, IL 60120-8176
(847) 741-2600
(847) 741-3248
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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A02860014-A
IL
324500000X
Substance Abuse Rehabilitation Facility
A02860015-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000593
BC/BS
—
Enumeration date
01/21/2016
Last updated
01/23/2019
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