LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS (NPI# 1053776799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053776799 |
| Entity Type | Organization |
| Organization Name | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS |
| Practice Address |
7601 S Kostner Ave Suite 308 Chicago IL 60652-1126 |
| Practice Telephone | 7737530600 |
| Practice Fax Number | 7737531255 |
| Mailing Telephone | 7737530600 |
| Mailing Fax Number | 7737531255 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | MS. SUSAM STEPHENS (CHIEF ORG. DEVELOPMENT OFFICER, VP) |
| Authorized Official Telephone | 7087717180 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 012998-11 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 2B05-CHR-025 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356704241 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 329 W Lake St, Addison, IL 60101-2514 | 2016-03-30 |
| 1902203540 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 150 N Schuyler Ave, Suites 200-202, Second Floor, Kankakee, IL 60901-3839 | 2014-11-25 |
| 1063767820 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 323 W Lake St, Addison, IL 60101-2514 | 2012-07-18 |
| 1497084347 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 618 S. 42nd St, Mt Vernon, IL 62864 | 2009-12-23 |
| 1942539895 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 1140 N Lamon Ave, 3rd Floor, Chicago, IL 60651-3103 | 2009-12-23 |
| 1588993430 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 620 N. Walnut St., Springfield, IL 62702 | 2009-12-23 |
| 1760711618 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 6127 S University Ave, Chicago, IL 60637-2723 | 2009-12-23 |
| 1538498969 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 2715 N 27th St Ste 1, Decatur, IL 62526-5231 | 2009-12-14 |
| 1992768311 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 343 W Lake St, Addison, IL 60101-2514 | 2006-04-07 |
| 1871956789 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 329 W Lake St, Addison, IL 60101-2514 | 2016-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS | 1 Oakbrook Ter Ste 501, Oakbrook Terrace, IL 60181-4449 |
| Iowa Business Entities | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS | One Oakbrook Terrace Suite 501, Oakbrook Terrace, IL 60181 |
| Street Address |
7601 S KOSTNER AVE SUITE 308 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60652-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407808371 | Kathy J Webb | Occupational Therapist | 7601 S Kostner Ave, Suite 150, Chicago, IL 60652-1126 | 2006-05-17 |
| 1619535002 | Sergio Ayala | Counselor | 7601 S Kostner Ave, Chicago, IL 60652-1126 | 2019-05-31 |
| 1104325448 | Curtis Lee Slate | Counselor | 7601 S Kostner Ave, Chicago, IL 60652-1126 | 2018-02-01 |
| 1407392160 | Khalil Foundation | Community/Behavioral Health | 7601 S Kostner Ave, Suite 206, Chicago, IL 60652-1126 | 2017-01-18 |
| 1669844627 | Leodis F Scott Sr. | Counselor | 7601 S Kostner Ave, Chicago, IL 60652-1126 | 2015-10-29 |
| 1407042591 | Maria L. Reyes, M.d., S.c. | Pediatrics | 7601 S Kostner Ave, Suite 209, Chicago, IL 60652-1126 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042715 | New Hope Community Service Center | Clinic/Center | New Hope Community Service Center, 2559 West 79th, Chicago, IL 60652 | 2019-09-12 |
| 1770012189 | Rachel Pasternak | Social Worker | 3348 W 87th Street, Chicago, IL 60652 | 2017-06-08 |
| 1437682283 | Manliu Yang | Dentist | 8541 S Cicero Ave, Chicago, IL 60652 | 2017-04-08 |
| 1336687144 | Stephanie J. Wilson | Registered Nurse | 7600 S. Pulask Rd., Chicago, IL 60652 | 2017-02-01 |
| 1346786811 | Talisha Moman | Licensed Practical Nurse | 7600 S. Pulaski Rd., Suite 1106, Chicago, IL 60652 | 2017-01-09 |
| 1952851933 | Yvonne Caldwell | Licensed Practical Nurse | 8600 S. Pulaski, Road, Chicago, IL 60652 | 2016-10-13 |
| 1942605795 | Brittney Mclean | Developmental Therapist | 4317 W. 77th Pl, Chicago, IL 60652 | 2014-10-22 |
| 1245599521 | Chisa Marie Collins | Occupational Therapist | 8008 S Albany, Chicago, IL 60652 | 2012-05-08 |
| 1548572969 | St. Mary Therapy Services | Clinic/Center | 2455 W 79th St, #101, Chicago, IL 60652 | 2010-07-14 |
| 1750574752 | Curt R Lang | Dentist | 4651 W 79th St, Suite 208, Chicago, IL 60652 | 2007-08-22 |
| Find all providers in zip 60652 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992152409 | Envision Unlimited Foster Care | Foster Care Agency | 1814 W 103rd St, Chicago, IL 60643-2817 | 2016-05-16 |
| 1932598893 | Sos Children's Villages Illinois | Foster Care Agency | 1200 W Roosevelt Rd, Chicago, IL 60608-1414 | 2015-01-15 |
| 1396009445 | Lawrence Hall Youth Services | Foster Care Agency | 8117 S Essex Ave, Chicago, IL 60617-1225 | 2012-07-03 |
| 1508147109 | Evangelical Child and Family Agency | Foster Care Agency | 2240 W Ogden Ave, Chicago, IL 60612-4881 | 2011-09-09 |
| 1740587898 | Centers for New Horizons, Inc | Foster Care Agency | 4305a S. Martin Luther King Jr. Drive, Chicago, IL 60653-3308 | 2011-02-24 |
| 1952607285 | Unity Parenting and Counseling, Inc. | Foster Care Agency | 600 W Cermak Rd Ste 300, Chicago, IL 60616-4880 | 2011-02-03 |
| 1477855039 | Sos Children's Villages Illinois | Foster Care Agency | 7600 S Parnell Ave, Sos Childrens Village, Chicago, IL 60620-1824 | 2010-12-02 |
| 1336440619 | Envision Unlimited Foster Care Program | Foster Care Agency | 5333 S Greenwood Ave, Chicago, IL 60615-4303 | 2010-11-03 |
| 1497073241 | The Youth Campus | Foster Care Agency | 901 W Jackson Blvd, 5th Floor, Chicago, IL 60607-3023 | 2010-05-04 |
| 1508188723 | Chicago Child Care Society | Foster Care Agency | 5467 S University Ave, Chicago, IL 60615-5114 | 2010-02-16 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.