Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
BHS Belmont Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK STUTRUD (PRESIDENT)
(847) 635-4600
Entity
Organization
Contact information
Practice address
4840 W BYRON ST, CHICAGO, IL 60641-2712
(773) 282-7800
(773) 282-2163
Mailing address
1001 E TOUHY AVE STE 50, DES PLAINES, IL 60018-5817
(847) 635-4600
(847) 297-3407
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0286-0013-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-0286-0033-A
—
IL
Enumeration date
05/21/2007
Last updated
12/14/2022
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