Organization Name: | LUTHERAN SOCIAL SERVICES OF ILLINOIS |
NPI Number: | 1356744056 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK STUTRUD (CEO) |
Mailing Address: | 815 W 63rd St 3rd Floor Chicago |
State: | IL US |
Postal Code: | 606211917 |
Phone Number: | 7738733400 |
Fax Number: | 7738739808 |
NPI Enumeration Date: | 10/08/2014 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 3000540 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |