Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
LSSI CILA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD NOONAN (CHIEF FINANCIAL OFFICER)
(847) 635-4600
Entity
Organization
Contact information
Practice address
1001 E TOUHY AVE, SUITE 170, DES PLAINES, IL 60018-5801
(847) 635-4600
Mailing address
1001 E TOUHY AVE, SUITE 170, DES PLAINES, IL 60018-5801
(847) 635-4600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199200169C
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199200169C
STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES
IL
Enumeration date
07/05/2016
Last updated
07/28/2016
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