Organization
LUTHERAN SOCIAL SERVICES OF IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SHEEHAN (VP OF HOME & COMMUNITY BASED SERVIC)
(773) 443-3562
Entity
Organization
Contact information
Practice address
2740 W FOSTER AVE, STE 103, CHICAGO, IL 60625-3500
(773) 561-5809
Mailing address
1001 E TOUHY AVE, STE 50, DES PLAINES, IL 60018-5801
(847) 635-4600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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