Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
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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