| Lutheran Child And Family Services Of Illinois | |
|
9730 S Western Ave Ste 418 Evergreen Park IL 60805-2777 | |
| (773) 753-0600 | |
| (773) 753-1255 |
| Full Name | Lutheran Child And Family Services Of Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9730 S Western Ave Ste 418, Evergreen Park, Illinois |
| Authorized Official Name and Position | James Allen Webster (SYSTEM SUPPORT SPECIALIST) |
| Authorized Official Contact | 7089071583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Child And Family Services Of Illinois 1 Oakbrook Ter Ste 501 Oakbrook Terrace IL 60181-4479 Ph: (708) 771-7180 | Lutheran Child And Family Services Of Illinois 9730 S Western Ave Ste 418 Evergreen Park IL 60805-2777 Ph: (773) 753-0600 |
| NPI Number | 1780449181 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780449181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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