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).
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 |
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 Name | Type Code |
---|---|
LSSI Vienna | Other Name - Individual/Organization |
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 |
Street Address |
45 INDUSTRIAL DR |
City | VIENNA |
State | IL |
Zip Code | 62995-1674 |
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 |
Find all providers in zip 62995 |
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 |
---|---|---|---|---|
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 |
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 |
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.