Lutheran Social Services of Illinois

NPI #1881206035 in Vienna, Illinois

Provider Information

NPI Number
1881206035
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
45 INDUSTRIAL DR
City
Vienna
ZIP Code
62995-1674
Phone
(618) 658-9512

Authorized Official

Name
MARK STUTRUD
Title
PRESIDENT
Phone
(847) 635-4600

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