LUTHERAN SOCIAL SERVICES OF IL (NPI# 1174576862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174576862 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF IL |
| Practice Address |
3000 W Rohmann Ave West Peoria IL 61604-4842 |
| Mailing Address |
1001 E Touhy Ave Suite 50 Des Plaines IL 60018-5801 |
| Practice Telephone | 3096710300 |
| Practice Fax Number | 3096710503 |
| Mailing Telephone | 8476354600 |
| Mailing Fax Number | 8476356764 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-05-24 |
| Authorized Official Name | MR. GERALD EDMUND NOONAN (V.P. FINANCE/CFO) |
| Authorized Official Telephone | 8476354600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
04092 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205209715 | Lutheran Social Services of Il | Counselor | 102 E Deyoung St Ste B, Marion, IL 62959-2724 | 2015-11-05 |
| 1316386477 | Lutheran Social Services of Il | Clinic/Center | 605 N Logan Ave, Danville, IL 61832-4371 | 2013-06-21 |
| 1275853970 | Lutheran Social Services of Il | Clinic/Center | 2821 5th St, Rock Island, IL 61201-4028 | 2010-06-03 |
| 1639499338 | Lutheran Social Services of Il | Clinic/Center | 167 N Kellogg St, Galesburg, IL 61401-4714 | 2010-06-03 |
| 1467772160 | Lutheran Social Services of Il | Clinic/Center | 103 S Country Fair Dr, Champaign, IL 61821-3061 | 2010-06-03 |
| 1366762064 | Lutheran Social Services of Il | Clinic/Center | 308 W State St Ste 205, Rockford, IL 61101-1117 | 2010-06-03 |
| 1831544378 | Lutheran Social Services of Il | Counselor | 2740 W Foster Ave, Ste 103, Chicago, IL 60625-3500 | 2016-05-03 |
| 1134565690 | Lutheran Social Services of Il | Clinic/Center | 4840 W Byron St, Chicago, IL 60641-2712 | 2013-05-10 |
| 1619297314 | Lutheran Social Services of Il | Clinic/Center | 1901 1st Ave, Sterling, IL 61081-1203 | 2010-06-03 |
| 1194045898 | Lutheran Social Services of Il | Clinic/Center | 700 E Oak St, Suite 203, Canton, IL 61520-3157 | 2010-06-03 |
| Street Address |
3000 W ROHMANN AVE |
| City | WEST PEORIA |
| State | IL |
| Zip Code | 61604-4842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659336568 | John C Schlicksup | Counselor | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2006-04-20 |
| 1922656651 | Heather Williams | Social Worker | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2019-08-27 |
| 1821511270 | Kristen Leigh Brosch | Social Worker | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2017-07-18 |
| 1851849764 | Medical Management Innovations, Inc. | Case Management | 3000 W Rohmann Ave, Suite 5, West Peoria, IL 61604-4842 | 2016-09-20 |
| 1881098085 | Lutheran Social Services of Illinois | In Home Supportive Care | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2014-10-17 |
| 1376979195 | Easter Seals-ucp | Case Management | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2013-09-25 |
| 1366620924 | Lisa Ringenberg | Counselor | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2008-02-06 |
| 1174701726 | Brian Sutter | Counselor | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2008-02-06 |
| 1215115944 | Jodi Schwindenhammer | Counselor | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | WEST PEORIA |
| Zip Code | 61604 |
Please comment or provide details below to improve the information on LUTHERAN SOCIAL SERVICES OF IL.
| 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.