Organization · Type 2 NPI
Lutheran Social Services of Il
Mental Health Clinic/Center (Including Community Mental Health Center) · Galesburg, IL
NPI number
1639499338
Active
Practice location
167 N Kellogg St
Galesburg, IL 61401-4714
Fax (309) 343-6326
Mailing address
1001 E Touhy Ave, Suite 50
Des Plaines, IL 60018-5801
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...
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About NPI 1639499338
Lutheran Social Services of Il's National Provider Identifier is 1639499338, 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 Galesburg, IL. The record was last updated on Jun 3, 2010.