Lutheran Social Services of Il
NPI #1174576862 in West Peoria, Illinois
Provider Information
- NPI Number
- 1174576862
- Entity Type
- Organization
- Organization Name
- Lutheran Social Services of Il
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 17, 2006
- Last Updated
- May 24, 2010
Practice Location
- Address
- 3000 W ROHMANN AVE
- City
- West Peoria
- State
- Illinois
- ZIP Code
- 61604-4842
- Phone
- (309) 671-0300
Authorized Official
- Name
- MR. GERALD EDMUND NOONAN
- Title
- V.P. FINANCE/CFO
- Phone
- (847) 635-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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