Organization · Type 2 NPI

Lutheran Social Services of Illinois

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chicago, IL

NPI number 1063683449 Active

Practice location

3120 W Palmer Square
Chicago, IL 60647

Call (773) 342-2055 Map

Fax (773) 342-2512

Mailing address

1001 E Touhy Ave, Suite 170
Des Plaines, IL 60018-5801

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X926169 (IL)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1063683449

Lutheran Social Services of Illinois's National Provider Identifier is 1063683449, issued on Mar 13, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Chicago, IL. The record was last updated on Mar 13, 2008.