Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
Prisoner & Family Ministry
Organization subpart
No
Provider details
NPI number
Authorized official
GREERANN HAMBLET (BUSINESS MANAGER)
(847) 390-1422
Entity
Organization
Contact information
Practice address
1798 SUMMIT AVE, STE 104, EAST SAINT LOUIS, IL 62205-2800
(618) 604-3459
(618) 875-9695
Mailing address
1001 E TOUHY AVE, STE 170, DES PLAINES, IL 60018-5801
(847) 635-4600
(847) 297-3314
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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