LUTHERAN SOCIAL SERVICES OF ILLINOIS


Address: 45 Industrial Dr, Vienna, IL 62995-1674
Phone: 6186589512

LUTHERAN SOCIAL SERVICES OF ILLINOIS (NPI# 1881206035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881206035
Entity Type Organization
Organization Name LUTHERAN SOCIAL SERVICES OF ILLINOIS
Practice Address 45 Industrial Dr
Vienna
IL 62995-1674
Mailing Address 1001 E Touhy Ave Ste 50
Des Plaines
IL 60018-5817
Practice Telephone 6186589512
Practice Fax Number 6186588151
Mailing Telephone 8476354600
Mailing Fax Number 8472973407
Enumeration Date 2020-08-19
Last Update Date 2020-08-19
Authorized Official Name MARK STUTRUD (PRESIDENT)
Authorized Official Telephone 8476354600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
LSSI Vienna Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
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

Office Location

Street Address 45 INDUSTRIAL DR
City VIENNA
State IL
Zip Code 62995-1674

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538663463 Gregory M Blakely Physical Therapist 811 North 1st Street, Vienna, IL 62995 2018-03-23
1194101196 Ashley Laws Counselor 408 E. Vine, Vienna, IL 62995 2015-08-03
1477981421 Amanda Endrizzi Physician Assistant 803 North 1st Street, Vienna, IL 62995 2013-10-29
1780831453 Family Counseling Center, Inc. Community Based Residential Treatment Facility, Mental Illness 904 Vine Street, Vienna, IL 62995 2008-08-25
1528215290 Family Counseling Center, Inc. Clinic/Center 406 East Vine Street, Vienna, IL 62995 2008-08-25
1770676207 Martha Jane Crawford Social Worker 408 E Vine, Vienna, IL 62995 2006-10-02
1235147216 Rachel Ann Edmonds Physical Therapist 811 N 1st Street, Vienna, IL 62995 2006-08-04
1376572552 Bode Drug Inc Pharmacy 803 and One Half N First St, Vienna, IL 62995 2006-07-01
1578557476 Roger Franklin High Chiropractor 122 N 4th St, Vienna, IL 62995 2005-09-07
1932263332 Rural Health, Inc. Clinic/Center 803 N 1st St, Vienna, IL 62995 2006-12-20
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528215290 Family Counseling Center, Inc. Clinic/Center 406 East Vine Street, Vienna, IL 62995 2008-08-25
1295367753 Family Counseling Center of Greater Washington Clinic/Center 1952 Gallows Rd Ste 210, Vienna, VA 22182-3823 2020-02-12
1649838285 Grace Nova Counseling Clinic/Center 8227 Old Courthouse Rd Ste 215, Vienna, VA 22182-3815 2019-05-29
1407346695 Pimmit Counseling & Wellness Clinic Pllc Clinic/Center 2235 Cedar Ln Ste 102, Vienna, VA 22182-5247 2018-05-14
1528388501 Patricia Velkoff, Ph.d., P.C. Clinic/Center 243 Church St Nw, Suite 300-a, Vienna, VA 22180-4434 2010-06-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225639990 Mindy Forman, Psyd, LLC Clinic/Center 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 2020-11-07
1346840295 Stopka Professional Counseling LLC Clinic/Center 13125 Steeplechase Dr, New Lenox, IL 60451-1320 2020-10-29
1346848785 Wellness Hearted Therapy LLC Clinic/Center 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 2020-10-16
1457959256 Association for Individual Development Clinic/Center 708 N Bridge St, Yorkville, IL 60560-1105 2020-10-14
1285231555 Association for Individual Development Clinic/Center 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 2020-10-08
1386241123 Envision Unlimited Clinic/Center 1801 N Spaulding Ave, Chicago, IL 60647-4926 2020-10-05
1881291789 Jessica Weisbach, LLC Clinic/Center 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 2020-10-04
1619574803 Envision Unlimited Clinic/Center 2124 W 82nd Pl, Chicago, IL 60620-5358 2020-10-01
1144827320 Envision Unlimited Clinic/Center 4919 N Clark St, Chicago, IL 60640-3514 2020-10-01
1194322370 Envision Unlimited Clinic/Center 4911 S Hoyne Ave, Chicago, IL 60609-4721 2020-10-01
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Competitor

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City VIENNA
Zip Code 62995

Improve Information

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Dataset Information

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.

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