Organization · Type 2 NPI

Lutheran Social Services of Illinois

Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL

NPI number 1063637684 Active

Practice location

4840 W Byron St
Chicago, IL 60641-2712

Fax (773) 282-2163

Mailing address

1001 E Touhy Ave Ste 50
Des Plaines, IL 60018-5817

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Family Medicine Physician 207Q00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Nurse Practitioner 363L00000XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1063637684

Lutheran Social Services of Illinois's National Provider Identifier is 1063637684, issued on Apr 17, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Dec 31, 2019.