Lutheran Social Services of Illinois
NPI #1740453125 in Beardstown, Illinois
Provider Information
- NPI Number
- 1740453125
- Entity Type
- Organization
- Organization Name
- Lutheran Social Services of Illinois
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 8, 2008
- Last Updated
- Apr 8, 2008
Practice Location
- Address
- 612 WASHINGTON ST
- City
- Beardstown
- State
- Illinois
- ZIP Code
- 62618-1541
- Phone
- (217) 323-5367
Authorized Official
- Name
- MR. JERRY NOONAN
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (847) 635-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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