Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
BHS Elgin Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD NOONAN (CHIEF FINANCIAL OFFICER)
(847) 635-4600
Entity
Organization
Contact information
Practice address
675 VARSITY DR, ELGIN, IL 60120-8176
(847) 741-2600
(847) 741-3248
Mailing address
1001 E TOUHY AVE, SUITE 170, DES PLAINES, IL 60018-5801
(847) 635-4600
(847) 297-3407
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A02860014-A
IL
324500000X
Substance Abuse Rehabilitation Facility
A02860015-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000593
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/12/2007
Last updated
09/11/2025
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