LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS (NPI# 1063767820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063767820 |
| Entity Type | Organization |
| Organization Name | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS |
| Practice Address |
323 W Lake St Addison IL 60101-2514 |
| Mailing Address |
7620 Madison St River Forest IL 60305-2101 |
| Practice Telephone | 6305432926 |
| Practice Fax Number | 6305437910 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | SUSAN 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 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 013006-11 | IL | Residential Treatment Facilities |
| 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 |
| 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 |
| 1043675788 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2015-12-23 |
| 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 |
323 W LAKE ST |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1801161765 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 313 W Lake St, Addison, IL 60101-2514 | 2012-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363551 | Kemmerer Village Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 941 N. 2500 East Road, Assumption, IL 62510 | 2018-10-31 |
| 1538635198 | Center for Comprehensive Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 901 S Busse Rd, Mt Prospect, IL 60056-4006 | 2018-10-22 |
| 1851866867 | Sonia Shankman Orthogenic School | Residential Treatment Facility, Emotionally Disturbed Children | Sonia Shankman Orthogenic School, 6245 South Ingleside Ave, Chicago, IL 60637-2621 | 2018-10-05 |
| 1982188637 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 North Poplar Street, Onarga, IL 60955 | 2018-09-19 |
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1881058329 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E Queenwood Rd, Morton, IL 61550-9726 | 2016-04-11 |
| 1942621768 | Arrowhead Ranch Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12228 104th St, Coal Valley, IL 61240-9712 | 2013-12-20 |
| 1588004667 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 175 Evergreen, Manteno, IL 60950 | 2013-07-03 |
| 1649610841 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 325 Hemlock, Manteno, IL 60950 | 2013-07-02 |
| Find all providers with the same taxonomy | ||||
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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.