NPI 1063685444

Lutheran Social Services of Illinois

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

Practice location

Address: 104 6th Ave, Sterling, IL 61081-3919
Phone: (815) 625-8571
Fax: (815) 625-8593
Mailing address: 1001 E Touhy Ave Suite 170, Des Plaines, IL 60018-5801

Authorised official

Name: Jerry 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: 1063685444
Entity type: Organization
NPI issued: 8 Apr 2008
Record last updated: 8 Apr 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.