Organization · Type 2 NPI
Lutheran Social Services of Illinois
Intellectual Disabilities Intermediate Care Facility · Lockport, IL
NPI number
1164633657
Active
Practice location
16220 S Parker Rd
Lockport, IL 60491-9081
Fax (708) 301-0573
Mailing address
1001 E Touhy Ave, SUITE# 170
Des Plaines, IL 60018-5801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 0040527 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Lockport
About NPI 1164633657
Lutheran Social Services of Illinois's National Provider Identifier is 1164633657, issued on May 25, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lockport, IL. The record was last updated on Jul 15, 2016.