Palmer Square Adult Cila

LBN: Lutheran Social Services Of Illinois
Palmer Square Adult Cila is an health care organization with primary practice located at 3120 W Palmer Square , Chicago IL 60647. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Lutheran Social Services Of Illinois can be contacted via phone (773) 342-2055, or through Noonan, Gerald via phone (847) 635-4600.

Contact Information

Primary practice address
3120 W Palmer Square Chicago IL 60647
Phone: (773) 342-2055
Fax: (773) 342-2512
Website:
Map and Directions
Authorized official contact:
Name: Noonan, Gerald
Phone: (847) 635-4600

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 926169 Illinois

Profile Details

NPI number 1063683449
LBN Legal business name Lutheran Social Services Of Illinois
DBA Doing business as Palmer Square Adult Cila
Authorized official Noonan, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2008
Last updated Mar 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063683449 NPPES
Illinois Other 926169 DEPT OF HUMAN SERVICES

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