Lutheran Social Services of Illinois
NPI #1710599956 in Blue Island, Illinois
Provider Information
- NPI Number
- 1710599956
- Entity Type
- Organization
- Organization Name
- Lutheran Social Services of Illinois
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 19, 2020
- Last Updated
- Aug 19, 2020
Practice Location
- Address
- 12940 WESTERN AVE STE 300
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-4154
- Phone
- (708) 489-2894
Authorized Official
- Name
- MARK STUTRUD
- Title
- PRESIDENT
- Phone
- (847) 635-4600
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