LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI 1194104661

NPI Information

LUTHERAN SOCIAL SERVICES OF ILLINOIS is a mental health (including community mental health center) clinic center in Rockford, IL. LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI is 1194104661. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Prisoner & Family Ministry.

The provider's business location address is:

402 KISHWAUKEE ST
STE 101
ROCKFORD, IL
ZIP 61104-041
Phone: (815) 964-8637

The provider's authorized official is Greerann Hamblet .
The authorized official title is Business Manager and has the following contact phone number (847) 390-1422.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 5/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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