LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI 1477762177

NPI Information

  • NPI: 1477762177
  • Provider Name: LUTHERAN SOCIAL SERVICES OF ILLINOIS
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Other Name: BHS BELMONT FACILITY
  • Address: 4840 W BYRON ST
    CHICAGO, IL
    ZIP 60641
  • Phone: (773) 282-7800

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NPI Details

LUTHERAN SOCIAL SERVICES OF ILLINOIS is a rehabilitation and substance use disorder clinic center in Chicago, IL. LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI is 1477762177. The provider is registered as an organization entity type.
The provider Other Name Is Bhs Belmont Facility.

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 Mark Stutrud .
The authorized official title is President and has the following contact phone number (847) 635-4600.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 12/14/2022.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderA-0286-0013-AILLINOISYes

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
1A-0286-0033-AMEDICAIDILLINOIS

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

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