Lutheran Social Services of Illinois

NPI #1275744385 in Nachusa, Illinois

Provider Information

NPI Number: 1275744385
Entity Type: Organization
Organization Name: Lutheran Social Services of Illinois
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: May 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1261 ILLINOIS ROUTE# 38
Address 2: PHOENIX UNIT
City: Nachusa
State: Illinois
ZIP Code: 61057-0100
Phone: (815) 284-7796

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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