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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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