Organization
LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALLEN WEBSTER (SYSTEM SUPPORT ANALYST)
(708) 907-1583
Entity
Organization
Contact information
Practice address
2826 N. MONROE STREET, DECATUR, IL 62526
(217) 428-8380
Mailing address
ONE OAKBROOK TERRACE, SUITE #501, OAKBROOK TERRACE, IL 60181
(708) 771-7180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
253J00000X
Foster Care Agency
12998-11
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05-CHR-025
—
IL
Enumeration date
04/14/2017
Last updated
11/11/2022
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