LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS (NPI# 1043675788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043675788 |
| Entity Type | Organization |
| Organization Name | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS |
| Practice Address |
4720 N Sheridan Rd Chicago IL 60640-5022 |
| Mailing Address |
7620 Madison St River Forest IL 60305-2101 |
| Practice Telephone | 7732713760 |
| Mailing Telephone | 7087717180 |
| Mailing Fax Number | 7087717184 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | MS. SUSAN STEPHENS (CHIEF ORG. DEVELOPMENT OFFICER, VP) |
| Authorized Official Telephone | 7087717180 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 012998-11 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 2B05-CHR-025 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356704241 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 329 W Lake St, Addison, IL 60101-2514 | 2016-03-30 |
| 1902203540 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 150 N Schuyler Ave, Suites 200-202, Second Floor, Kankakee, IL 60901-3839 | 2014-11-25 |
| 1063767820 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 323 W Lake St, Addison, IL 60101-2514 | 2012-07-18 |
| 1497084347 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 618 S. 42nd St, Mt Vernon, IL 62864 | 2009-12-23 |
| 1942539895 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 1140 N Lamon Ave, 3rd Floor, Chicago, IL 60651-3103 | 2009-12-23 |
| 1588993430 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 620 N. Walnut St., Springfield, IL 62702 | 2009-12-23 |
| 1760711618 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 6127 S University Ave, Chicago, IL 60637-2723 | 2009-12-23 |
| 1538498969 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 2715 N 27th St Ste 1, Decatur, IL 62526-5231 | 2009-12-14 |
| 1992768311 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 343 W Lake St, Addison, IL 60101-2514 | 2006-04-07 |
| 1871956789 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 329 W Lake St, Addison, IL 60101-2514 | 2016-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS | 1 Oakbrook Ter Ste 501, Oakbrook Terrace, IL 60181-4449 |
| Iowa Business Entities | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS | One Oakbrook Terrace Suite 501, Oakbrook Terrace, IL 60181 |
| Street Address |
4720 N SHERIDAN RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912311275 | Rincon Family Services | Community/Behavioral Health | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2014-06-16 |
| 1316497597 | Rincon Family Services | Community/Behavioral Health | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2016-10-11 |
| 1619326444 | Rincon Family Services | Community/Behavioral Health | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992152409 | Envision Unlimited Foster Care | Foster Care Agency | 1814 W 103rd St, Chicago, IL 60643-2817 | 2016-05-16 |
| 1932598893 | Sos Children's Villages Illinois | Foster Care Agency | 1200 W Roosevelt Rd, Chicago, IL 60608-1414 | 2015-01-15 |
| 1396009445 | Lawrence Hall Youth Services | Foster Care Agency | 8117 S Essex Ave, Chicago, IL 60617-1225 | 2012-07-03 |
| 1508147109 | Evangelical Child and Family Agency | Foster Care Agency | 2240 W Ogden Ave, Chicago, IL 60612-4881 | 2011-09-09 |
| 1740587898 | Centers for New Horizons, Inc | Foster Care Agency | 4305a S. Martin Luther King Jr. Drive, Chicago, IL 60653-3308 | 2011-02-24 |
| 1952607285 | Unity Parenting and Counseling, Inc. | Foster Care Agency | 600 W Cermak Rd Ste 300, Chicago, IL 60616-4880 | 2011-02-03 |
| 1477855039 | Sos Children's Villages Illinois | Foster Care Agency | 7600 S Parnell Ave, Sos Childrens Village, Chicago, IL 60620-1824 | 2010-12-02 |
| 1336440619 | Envision Unlimited Foster Care Program | Foster Care Agency | 5333 S Greenwood Ave, Chicago, IL 60615-4303 | 2010-11-03 |
| 1497073241 | The Youth Campus | Foster Care Agency | 901 W Jackson Blvd, 5th Floor, Chicago, IL 60607-3023 | 2010-05-04 |
| 1508188723 | Chicago Child Care Society | Foster Care Agency | 5467 S University Ave, Chicago, IL 60615-5114 | 2010-02-16 |
| Find all providers in CHICAGO | ||||
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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.