LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI 1265676597

NPI Information

  • NPI: 1265676597
  • Provider Name: LUTHERAN SOCIAL SERVICES OF ILLINOIS
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Doing Business As: BEHAVIORAL HEALTH SERVICES
  • Address: 4840 W BYRON ST
    CHICAGO, IL
    ZIP 60641
  • Phone: (773) 282-7800

Map and Directions

Get Directions

NPI Details

LUTHERAN SOCIAL SERVICES OF ILLINOIS is a child and adolescent psychiatry psychiatry neurology in Chicago, IL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI is 1265676597. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Behavioral Health Services.

The provider's business location address is:

4840 W BYRON ST
CHICAGO, IL
ZIP 60641-712
Phone: (773) 282-7800
Fax: (773) 282-2163

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 4/30/2009 and was last updated on 4/30/2009.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036105330MEDICAIDILLINOIS
2036113899MEDICAIDILLINOIS
3036111400MEDICAIDILLINOIS
4036092099MEDICAIDILLINOIS
5752310MEDICARE UPINILLINOIS
6036094832MEDICAIDILLINOIS
7036091774MEDICAIDILLINOIS
8036095776MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI