Shady Oaks Developmental Training Center

LBN: Lutheran Social Services Of Illinois
Shady Oaks Developmental Training Center is an health care organization with primary practice located at 16248 S Parker Rd , Homer Glen IL 60491-9081. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Lutheran Social Services Of Illinois can be contacted via phone (708) 301-3885, or through Noonan, Gerald via phone (847) 635-4600.

Contact Information

Primary practice address
16248 S Parker Rd Homer Glen IL 60491-9081
Fax: (708) 301-1509
Website:
Authorized official contact:
Name: Noonan, Gerald

Profile Details

NPI number 1477904555
LBN Legal business name Lutheran Social Services Of Illinois
DBA Doing business as Shady Oaks Developmental Training Center
Authorized official Noonan, Gerald
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2016
Last updated Jun 29th, 2016 - about 9 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 1477904555 NPPES
Illinois Other 199200169C STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES

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