Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
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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