LUTHERAN SOCIAL SERVICES OF ILLINOIS (NPI# 1194104661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194104661 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF ILLINOIS |
| Other Organization Name | PRISONER & FAMILY MINISTRY |
| Practice Address |
402 Kishwaukee St Ste 101 Rockford IL 61104-2041 |
| Mailing Address |
1001 E Touhy Ave Ste 170 Des Plaines IL 60018-5801 |
| Practice Telephone | 8159648637 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | GREERANN HAMBLET (BUSINESS MANAGER) |
| Authorized Official Telephone | 8473901422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prisoner & Family Ministry | Other Name - Individual/Organization |
| 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 |
| 1104200237 | Lutheran Social Services of Illinois | Clinic/Center | 85 Hankes Ave, Aurora, IL 60505-1774 | 2015-07-18 |
| 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 |
402 KISHWAUKEE ST STE 101 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-2041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| Find all providers in zip 61104 | ||||
| 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 |
|---|---|---|---|---|
| 1831486521 | Janet Wattles Center | Clinic/Center | 2014 Auburn St, Rockford, IL 61103-4479 | 2011-07-01 |
| 1659668333 | Janet Wattles Center | Clinic/Center | 2406 Auburn St, Rockford, IL 61103-4495 | 2011-07-01 |
| 1124313465 | Janet Wattles Center | Clinic/Center | 1422 20th St, Rockford, IL 61104-3519 | 2011-06-15 |
| 1578858817 | Janet Wattles Center | Clinic/Center | 1509 Benton St, Rockford, IL 61107-4322 | 2011-06-15 |
| 1366762064 | Lutheran Social Services of Il | Clinic/Center | 308 W State St Ste 205, Rockford, IL 61101-1117 | 2010-06-03 |
| 1306070032 | Along The Path Counseling Services P.C. | Clinic/Center | 433 S Phelps Ave, Suite 2, Rockford, IL 61108-2442 | 2009-05-09 |
| 1851457121 | Joseph H. Vaughn | Clinic/Center | 4875 Manhattan Dr, Rockford, IL 61108 | 2006-12-29 |
| 1558327544 | Janet Wattles Center | Clinic/Center | 526 W State St, Rockford, IL 61101-1214 | 2006-04-26 |
| 1194382069 | Jesse Belle Counseling Pllc | Clinic/Center | 1639 N Alpine Rd Ste 403, Rockford, IL 61107-1440 | 2019-05-24 |
| 1942771548 | Center for The Healing Mind Pllc | Clinic/Center | 6653 Weaver Rd Ste 105, Rockford, IL 61114-8052 | 2018-12-09 |
| Find all providers in ROCKFORD | ||||
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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.