Organization · Type 2 NPI
Lutheran Social Services of Il
Mental Health Clinic/Center (Including Community Mental Health Center) · Rockford, IL
NPI number
1366762064
Active
Practice location
308 W State St Ste 250
Rockford, IL 61101-1140
Fax (815) 969-8871
Mailing address
1001 E Touhy Ave Ste 50
Des Plaines, IL 60018-5817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 04092 (IL) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1366762064
Lutheran Social Services of Il's National Provider Identifier is 1366762064, issued on Jun 3, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Rockford, IL. The record was last updated on Sep 5, 2025.