LUTHERAN SOCIAL SERVICES OF ILLINOIS

CHICAGO, IL
NPI1063637684
Other NamePORTAGE CRAGIN OUTPATIENT
Entity TypeOrganization
Authorized ContactMARK STUTRUD
President
847-635-4600
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Additional Taxonomies103TC0700X Psychologist, Clinical
1041C0700X Social Worker, Clinical
207Q00000X Family Medicine
363L00000X Nurse Practitioner
Enumeration Date2007-04-17
Last Update Date2019-12-31
Business Address
LUTHERAN SOCIAL SERVICES OF ILLINOIS
4840 W BYRON ST
CHICAGO, IL 60641-2712
Phone number: 773-282-7800
Mailing Address
LUTHERAN SOCIAL SERVICES OF ILLINOIS
1001 E TOUHY AVE STE 50
DES PLAINES, IL 60018-5817
Phone number: 847-635-4600