LUTHERAN SOCIAL SERVICES OF ILLINOIS (NPI# 1104200237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104200237 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF ILLINOIS |
| Practice Address |
85 Hankes Ave Aurora IL 60505-1774 |
| Mailing Address |
1001 E Touhy Ave Suite 50 Des Plaines IL 60018-5801 |
| Practice Telephone | 6308962714 |
| Practice Fax Number | 6308965613 |
| Mailing Telephone | 8476354600 |
| Mailing Fax Number | 8476354764 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MR. MARK STUTRUD (PRESIDENT) |
| Authorized Official Telephone | 8476354600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
04092 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 04092 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Gale St, Suite 100, Aurora, IL 605065084 | 6308962714 | 6308965613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206035 | Lutheran Social Services of Illinois | Psychologist | 45 Industrial Dr, Vienna, IL 62995-1674 | 2020-08-19 |
| 1710599956 | Lutheran Social Services of Illinois | Psychologist | 12940 Western Ave Ste 300, Blue Island, IL 60406-4154 | 2020-08-19 |
| 1235741745 | Lutheran Social Services of Illinois | Psychologist | 102 E Deyoung St, Marion, IL 62959-2724 | 2020-08-18 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1477904555 | Lutheran Social Services of Illinois | Counselor | 16248 S Parker Rd, Homer Glen, IL 60491-9081 | 2016-06-29 |
| 1760857213 | Lutheran Social Services of Illinois | Counselor | 6201 S Sangamon St, Ste 101, Chicago, IL 60621-2005 | 2015-12-09 |
| 1194104661 | Lutheran Social Services of Illinois | Counselor | 402 Kishwaukee St, Ste 101, Rockford, IL 61104-2041 | 2015-05-29 |
| 1578942108 | Lutheran Social Services of Illinois | Counselor | 1798 Summit Ave, Ste 104, East Saint Louis, IL 62205-2800 | 2015-05-28 |
| 1356744056 | Lutheran Social Services of Illinois | In Home Supportive Care | 815 W 63rd St, 3rd Floor, Chicago, IL 60621-1917 | 2014-10-08 |
| 1013310705 | Lutheran Social Services of Illinois | In Home Supportive Care | 1111 S Alpine Rd, Suite 201, Rockford, IL 61108-3940 | 2014-10-08 |
| Street Address |
85 HANKES AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60505-1774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487295325 | Wendy Ince | Social Worker | 85 Hankes Ave, Aurora, IL 60505-1774 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| Find all providers in zip 60505 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625621 | Spanish Clinic LLC | Clinic/Center | 1400 Dayton St, Aurora, CO 80010-3233 | 2020-09-28 |
| 1871118398 | Association for Individual Development | Clinic/Center | 104 E Downer Pl Fl 3, Aurora, IL 60505-3376 | 2020-06-10 |
| 1225509714 | Christopher Hawkins Phd | Clinic/Center | 100 Samantha Dr, Aurora, OH 44202-9801 | 2018-12-10 |
| 1437512316 | Association for Individual Development | Clinic/Center | 905 2nd Ave Fl 1, Aurora, IL 60505-3712 | 2016-03-30 |
| 1447644646 | Compassionate Counseling | Clinic/Center | 13791 E Rice Pl # 110, Aurora, CO 80015-1057 | 2015-03-25 |
| 1578773214 | Asian Pacific Center for Human Development | Clinic/Center | 1537 Alton St, Aurora, CO 80010-1712 | 2007-05-23 |
| 1063591303 | Family Counseling Service of Aurora | Clinic/Center | 70 S. River St., Aurora, IL 60506 | 2006-11-06 |
| 1134149057 | Aurora Comprehensive Community Mental Health Center Inc | Clinic/Center | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2006-07-21 |
| 1720685423 | Aurora Comprehensive Community Mental Health Center | Clinic/Center | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2020-10-06 |
| 1508463340 | Aurora Comprehensive Community Mental Health Center Inc | Clinic/Center | 1504 Galena St, Aurora, CO 80010-2219 | 2020-10-05 |
| Find all providers in AURORA | ||||
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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.