Lutheran Social Services of Illinois

NPI #1194104661 in Rockford, Illinois

Provider Information

NPI Number: 1194104661
Entity Type: Organization
Organization Name: Lutheran Social Services of Illinois
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 29, 2015
Last Updated: May 29, 2015

Practice Location

Address: 402 KISHWAUKEE ST
Address 2: STE 101
City: Rockford
State: Illinois
ZIP Code: 61104-2041
Phone: (815) 964-8637

Authorized Official

Name: GREERANN HAMBLET
Title: BUSINESS MANAGER
Phone: (847) 390-1422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker	104100000X
Case Manager/Care Coordinator	171M00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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