LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI 1831300847

NPI Information

NPI: 1831300847
Provider Name: LUTHERAN SOCIAL SERVICES OF ILLINOIS

Other Name: BHS PROJECT SAFE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1764 W DEVON AVE
CHICAGO, IL
ZIP 60660
Phone: (773) 764-4512
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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 1831300847. The provider is registered as an organization entity type.
The provider Other Name Is Bhs Project Safe.

The provider's business location address is:

1764 W DEVON AVE
CHICAGO, IL
ZIP 60660-130
Phone: (773) 764-4512
Fax: (773) 764-4555

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 5/24/2007 and was last updated on 8/22/2020.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A-0286-0004-A	ILLINOIS	Yes

What is NPI?

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This page was last updated on: 11/14/2023

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