NPI: 1780893859
Provider Name: LUTHERAN SOCIAL SERVICES OF ILLINOIS
Other Name: BHS EDGEWATER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1758 W DEVON AVE
CHICAGO, IL
ZIP 60660
Phone: (773) 764-4350
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LUTHERAN SOCIAL SERVICES OF ILLINOIS is a rehabilitation and substance use disorder clinic center in Chicago, IL. LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI is 1780893859. The provider is registered as an organization entity type.
The provider Other Name Is Bhs Edgewater.
The provider's business location address is:
1758 W DEVON AVE
CHICAGO, IL
ZIP 60660-130
Phone: (773) 764-4350
Fax: (773) 764-5313
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 5/22/2007 and was last updated on 8/22/2020.