LUTHERAN SOCIAL SERVICES OF IL NPI 1205209715

NPI Information

LUTHERAN SOCIAL SERVICES OF IL is a mental health (including community mental health center) clinic center in Marion, IL. LUTHERAN SOCIAL SERVICES OF IL NPI is 1205209715. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

102 E DEYOUNG ST STE B
MARION, IL
ZIP 62959-724
Phone: (618) 997-9076

The provider's authorized official is Tim Sheehan .
The authorized official title is Vp Of Home And Community Svcs and has the following contact phone number (773) 443-3562.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/5/2015.

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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