Lutheran Social Services of Illinois

NPI #1063683449 in Chicago, Illinois

Provider Information

NPI Number: 1063683449
Entity Type: Organization
Organization Name: Lutheran Social Services of Illinois
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 13, 2008
Last Updated: Mar 13, 2008

Practice Location

Address: 3120 W PALMER SQUARE
City: Chicago
State: Illinois
ZIP Code: 60647
Phone: (773) 342-2055

Authorized Official

Name: MR. GERALD NOONAN
Title: CHIEF FINANCIAL OFFICER
Phone: (847) 635-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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