NPI 1063683449

Lutheran Social Services of Illinois

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Chicago, IL

Practice location

Address: 3120 W Palmer Square, Chicago, IL 60647
Phone: (773) 342-2055
Fax: (773) 342-2512
Mailing address: 1001 E Touhy Ave Suite 170, Des Plaines, IL 60018-5801

Authorised official

Name: Gerald Noonan
Title: Chief Financial Officer
Phone: (847) 635-4600

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 926169 (IL)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Illinois →

Registry record

NPI: 1063683449
Entity type: Organization
NPI issued: 13 Mar 2008
Record last updated: 13 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.