Lutheran Social Services of Illinois

NPI #1992915698 in Dixon, Illinois

Provider Information

NPI Number: 1992915698
Entity Type: Organization
Organization Name: Lutheran Social Services of Illinois
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: May 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1247 N. GALENA AVENUE
City: Dixon
State: Illinois
ZIP Code: 61021-1000
Phone: (815) 288-6655

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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