Organization Name: | LUTHERAN SOCIAL SERVICES OF ILLINOIS |
NPI Number: | 1386001311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD NOONAN (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 675 Varsity Dr Elgin |
State: | IL US |
Postal Code: | 601208176 |
Phone Number: | 8477412600 |
Fax Number: | 8477413248 |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | A02860015-A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |