LUTHERAN SOCIAL SERVICES OF IL (NPI# 1467772160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467772160 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF IL |
| Practice Address |
103 S Country Fair Dr Champaign IL 61821-3061 |
| Mailing Address |
1001 E Touhy Ave Suite 50 Des Plaines IL 60018-5801 |
| Practice Telephone | 2173983011 |
| Practice Fax Number | 2173983176 |
| Mailing Telephone | 8476354600 |
| Mailing Fax Number | 8476356764 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | GERALD E NOONAN (V.P. FINANCE/CFO) |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205209715 | Lutheran Social Services of Il | Counselor | 102 E Deyoung St Ste B, Marion, IL 62959-2724 | 2015-11-05 |
| 1316386477 | Lutheran Social Services of Il | Clinic/Center | 605 N Logan Ave, Danville, IL 61832-4371 | 2013-06-21 |
| 1275853970 | Lutheran Social Services of Il | Clinic/Center | 2821 5th St, Rock Island, IL 61201-4028 | 2010-06-03 |
| 1639499338 | Lutheran Social Services of Il | Clinic/Center | 167 N Kellogg St, Galesburg, IL 61401-4714 | 2010-06-03 |
| 1366762064 | Lutheran Social Services of Il | Clinic/Center | 308 W State St Ste 205, Rockford, IL 61101-1117 | 2010-06-03 |
| 1831544378 | Lutheran Social Services of Il | Counselor | 2740 W Foster Ave, Ste 103, Chicago, IL 60625-3500 | 2016-05-03 |
| 1134565690 | Lutheran Social Services of Il | Clinic/Center | 4840 W Byron St, Chicago, IL 60641-2712 | 2013-05-10 |
| 1619297314 | Lutheran Social Services of Il | Clinic/Center | 1901 1st Ave, Sterling, IL 61081-1203 | 2010-06-03 |
| 1194045898 | Lutheran Social Services of Il | Clinic/Center | 700 E Oak St, Suite 203, Canton, IL 61520-3157 | 2010-06-03 |
| 1174576862 | Lutheran Social Services of Il | Clinic/Center | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2006-05-17 |
| Street Address |
103 S COUNTRY FAIR DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346676178 | Easter Seals-ucp | Case Management | 103 S Country Fair Dr, Champaign, IL 61821-3061 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| 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 |
|---|---|---|---|---|
| 1154955037 | Martin Srajek, Phd., Lcsw, Ltd | Clinic/Center | 206 N Randolph St Ste 534-36, Champaign, IL 61820-3949 | 2020-02-28 |
| 1619124302 | Community Elements, Inc. | Clinic/Center | 801 N Walnut St, Champaign, IL 61820-3055 | 2008-08-25 |
| 1093962961 | Community Elements, Inc | Clinic/Center | 614 W Healey St, Champaign, IL 61820-5025 | 2008-08-22 |
| 1831167337 | Community Elements Inc | Clinic/Center | 1801 Fox Dr, Champaign, IL 61820-7236 | 2006-03-09 |
| 1669084877 | Coles County Mental Health Association, Inc. | Clinic/Center | 1701 S Prospect Ave Ste 205, Champaign, IL 61820-7054 | 2020-08-19 |
| 1174084677 | Family Service of Champaign County | Clinic/Center | 405 S State St, Champaign, IL 61820-5129 | 2019-03-27 |
| 1083104558 | Rosecrance, Inc. | Clinic/Center | 2302 Moreland Blvd, Champaign, IL 61822-1398 | 2018-05-10 |
| 1902311442 | Rosecrance, Inc. | Clinic/Center | 122 W Hill St, Champaign, IL 61820-3519 | 2017-12-06 |
| 1871047209 | Cunningham Children's Home of Urbana Il | Clinic/Center | 701 Devonshire Dr, Champaign, IL 61820-7337 | 2016-08-15 |
| 1427406859 | Rosecrance Inc | Clinic/Center | 1801 Fox Dr, Champaign, IL 61820 | 2016-05-26 |
| Find all providers in CHAMPAIGN | ||||
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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.