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
618 S. 42ND ST, MT VERNON, IL 62864
(618) 242-3284
(618) 242-3288
Mailing address
1 OAKBROOK TER STE 501, OAKBROOK TERRACE, IL 60181-4479
(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
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
253J00000X
Foster Care Agency
012998-11
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
12/23/2009
Last updated
11/11/2022
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