LUTHERAN SOCIAL SERVICES OF IL (NPI# 1194045898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194045898 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF IL |
| Practice Address |
700 E Oak St Suite 203 Canton IL 61520-3157 |
| Mailing Address |
1001 E Touhy Ave Suite 50 Des Plaines IL 60018-5801 |
| Practice Telephone | 3096473325 |
| Practice Fax Number | 3096470262 |
| Mailing Telephone | 8476354600 |
| Mailing Fax Number | 8476356764 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | GERALD E 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 |
| 1174576862 | Lutheran Social Services of Il | Clinic/Center | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2006-05-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | LUTHERAN SOCIAL SERVICES OF ILLINOIS | 880 Lee St, Des Plaines, IL 60016 |
| Street Address |
700 E OAK ST SUITE 203 |
| City | CANTON |
| State | IL |
| Zip Code | 61520-3157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275662157 | Theresa Bankert | Nurse Practitioner | 700 E Oak St, Canton, IL 61520-3157 | 2007-03-05 |
| 1396975462 | Edward W Ardt | Dentist | 700 E Oak St, Canton, IL 61520-3157 | 2009-07-22 |
| 1578766218 | Judith Ann Simmons Juraco | Nurse Practitioner | 700 E Oak St, Canton, IL 61520-3157 | 2007-06-08 |
| 1982829420 | Graciela Grammer | Dentist | 700 E Oak St, Canton, IL 61520-3157 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| Find all providers in zip 61520 | ||||
| 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 |
|---|---|---|---|---|
| 1003307810 | Lenzy Family Institute | Clinic/Center | 1930 Fulton Rd Nw Ste 103, Canton, OH 44709-3526 | 2018-05-29 |
| 1407976285 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-29 |
| 1053437384 | Josephine E. Glover, Dba | Clinic/Center | 2719 Cleveland Ave Nw, Canton, OH 44709-3309 | 2007-03-21 |
| 1831601913 | Peter Perrotta Ms., Lpc., Ladc., LLC | Clinic/Center | 50 Albany Tpke Ste 3010, Canton, CT 06019-2555 | 2017-10-30 |
| 1235477969 | Seeking Out Solutions | Clinic/Center | 259 Albany Tpke, Canton, CT 06019-2557 | 2013-01-31 |
| 1710238613 | Phoenix Rising Behavioral Healthcare and Recovery, Inc | Clinic/Center | 624 Market Ave N, Canton, OH 44702-1017 | 2012-10-02 |
| 1891906921 | Priority Care, Inc. | Clinic/Center | 1044 Lilly Ave Ne, Canton, OH 44730-1440 | 2007-05-24 |
| 1588784912 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-30 |
| 1962536854 | Human Development and Counseling Assoc Inc | Clinic/Center | 4792 Munson St Nw, Munson Professional Centre, Canton, OH 44718-3630 | 2007-03-15 |
| 1700915071 | Downriver Mental Health Clinic PC | Clinic/Center | 5958 N Canton Center Rd, Suite 900, Canton, MI 48187-2765 | 2007-03-05 |
| Find all providers in CANTON | ||||
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.