institution
Lutheran Social Services Of Illinois
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Chicago, Illinois
NPI 1063683449

Lutheran Social Services Of Illinois is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Des Plaines, IL. Lutheran Social Services Of Illinois practices in Chicago, IL. The NPI Number for Lutheran Social Services Of Illinois is 1063683449 and holds a License No. 926169 (Illinois).

The current practice location address for Lutheran Social Services Of Illinois is 3120 W Palmer Square, Chicago, IL and can be reached out via phone at 773-342-2055 and via fax at 773-342-2512.

Location: 3120 W Palmer Square, Chicago, IL, 60018-5801
institution
Provider Profile Details
NPI Number
1063683449
Provider Name
Lutheran Social Services Of Illinois
Credential
Provider Entity Type
Organization
Address
3120 W Palmer Square, Chicago, IL, 60018-5801
Phone Number
773-342-2055
Fax Number
773-342-2512
Provider Enumeration Date
03/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
926169 01 IL DEPT OF HUMAN SERVICES
institution
Provider Business Practice Location Address Details
Address
3120 W Palmer Square
City
State
Zip
60647
Phone Number
773-342-2055
Fax Number
773-342-2512
person
Provider Business Mailing Address Details
Address
3120 W Palmer Square
City
State
Zip
60647
Phone Number
773-342-2055
Fax Number
773-342-2512
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
926169 (Illinois)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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