Lutheran Social Services of Il

NPI #1194045898 in Canton, Illinois

Provider Information

NPI Number: 1194045898
Entity Type: Organization
Organization Name: Lutheran Social Services of Il
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 3, 2010
Last Updated: Jun 3, 2010

Practice Location

Address: 700 E OAK ST
Address 2: SUITE 203
City: Canton
State: Illinois
ZIP Code: 61520-3157
Phone: (309) 647-3325

Authorized Official

Name: GERALD E NOONAN
Title: V.P. FINANCE/CFO
Phone: (847) 635-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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