NPI:
1124238928
Provider Name:
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Other Name: NACHUSA FACILITY
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1261 ILLINOIS ROUTE 38
EDUCATIONAL CENTER
NACHUSA, IL
ZIP 61057
Phone:
(815) 284-7796
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LUTHERAN SOCIAL SERVICES OF ILLINOIS is a rehabilitation and substance use disorder clinic center in Nachusa, IL. LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI is 1124238928. The provider is registered as an organization entity type.
The provider Other Name Is Nachusa Facility.
The provider's business location address is:
1261 ILLINOIS ROUTE 38
EDUCATIONAL CENTER
NACHUSA, IL
ZIP 61057-100
Phone: (815) 284-7796
Fax: (815) 284-2537
The provider's authorized official is Gerald Noonan .
The authorized official title is Chief Financial Officer and has the following contact phone number (847) 635-4600.
The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.