Lutheran Social Services Of Illinois

LBN: Lutheran Social Services Of Illinois
Lutheran Social Services Of Illinois is an health care organization with primary practice located at 85 Hankes Ave , Aurora IL 60505-1774. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Lutheran Social Services Of Illinois can be contacted via phone (630) 896-2714, or through Stutrud, Mark via phone (847) 635-4600.

Contact Information

Primary practice address
85 Hankes Ave Aurora IL 60505-1774
Phone: (630) 896-2714
Fax: (630) 896-5613
Website:
Map and Directions
Authorized official contact:
Name: Stutrud, Mark
Phone: (847) 635-4600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 04092 Illinois

Profile Details

NPI number 1104200237
LBN Legal business name Lutheran Social Services Of Illinois
DBA Doing business as
Authorized official Stutrud, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2015
Last updated Jan 3rd, 2020 - about 4 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 1104200237 NPPES
Illinois MEDICAID 04092

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