LUTHERAN SOCIAL SERVICES OF ILLINOIS


Address: 102 E Deyoung St, Marion, IL 62959-2724
Phone: 6189979076

LUTHERAN SOCIAL SERVICES OF ILLINOIS (NPI# 1235741745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235741745
Entity Type Organization
Organization Name LUTHERAN SOCIAL SERVICES OF ILLINOIS
Practice Address 102 E Deyoung St
Marion
IL 62959-2724
Mailing Address 1001 E Touhy Ave Ste 50
Des Plaines
IL 60018-5817
Practice Telephone 6189979076
Practice Fax Number 6189980604
Mailing Telephone 8473901422
Mailing Fax Number 8472973407
Enumeration Date 2020-08-18
Last Update Date 2020-08-18
Authorized Official Name MARK STUTRUD (PRESIDENT)
Authorized Official Telephone 8476354600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Prison and Family Ministries Marion Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881206035 Lutheran Social Services of Illinois Psychologist 45 Industrial Dr, Vienna, IL 62995-1674 2020-08-19
1710599956 Lutheran Social Services of Illinois Psychologist 12940 Western Ave Ste 300, Blue Island, IL 60406-4154 2020-08-19
1922634021 Lutheran Social Services of Illinois Clinic/Center 400 N Cherry St, Morrison, IL 61270-2605 2020-03-20
1477904555 Lutheran Social Services of Illinois Counselor 16248 S Parker Rd, Homer Glen, IL 60491-9081 2016-06-29
1760857213 Lutheran Social Services of Illinois Counselor 6201 S Sangamon St, Ste 101, Chicago, IL 60621-2005 2015-12-09
1104200237 Lutheran Social Services of Illinois Clinic/Center 85 Hankes Ave, Aurora, IL 60505-1774 2015-07-18
1194104661 Lutheran Social Services of Illinois Counselor 402 Kishwaukee St, Ste 101, Rockford, IL 61104-2041 2015-05-29
1578942108 Lutheran Social Services of Illinois Counselor 1798 Summit Ave, Ste 104, East Saint Louis, IL 62205-2800 2015-05-28
1356744056 Lutheran Social Services of Illinois In Home Supportive Care 815 W 63rd St, 3rd Floor, Chicago, IL 60621-1917 2014-10-08
1013310705 Lutheran Social Services of Illinois In Home Supportive Care 1111 S Alpine Rd, Suite 201, Rockford, IL 61108-3940 2014-10-08

Office Location

Street Address 102 E DEYOUNG ST
City MARION
State IL
Zip Code 62959-2724

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710513486 Sarah Benitone Counselor 11264 Il-37, Marion, IL 62959 2020-03-13
1528609328 Patricia E Murphy Radiology 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 2019-10-02
1366007007 Centerstone of Illinois, Inc Community/Behavioral Health 202 S Bentley St, Marion, IL 62959 2019-05-08
1649752064 Sydney Seiter Occupational Therapist 906 Skyline Suite 100, Marion, IL 62959 2018-09-01
1497279848 Brooke Alisa Osman Licensed Practical Nurse 11531 Sunderland Road, Marion, IL 62959 2017-07-27
1912436429 Joy L. Kee Social Worker 509 South Bentley Street, Marion, IL 62959 2017-06-08
1386181170 Susan Smothers Counselor 1305 West Main Street, Marion, IL 62959 2017-01-31
1205280922 Harish Kempegowda Orthopaedic Surgery 3331 W Deyoung St Ste 201, Marion, IL 62959 2016-04-19
1942609227 Casey Hill Social Worker 1604 W. Walnut St., Marion, IL 62959 2014-08-22
1306252812 Justin M White Chiropractor 1603 W Kimmel, Marion, IL 62959 2014-07-03
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649447376 Abbe Center for Cmh At Horizons Clinic/Center 4000 Highway 151, Marion, IA 52302-6537 2008-05-12
1861417602 Arp/phoenix Clinic/Center 486 Spaulding Rd, Marion, NC 28752-5212 2006-07-13
1518133685 Abbe Center for Cmh At Abbe Center for Community Care Clinic/Center 1860 County Home Rd, Marion, IA 52302-9753 2008-05-07
1346416922 Counseling Consultants Clinic/Center 230 Pine St, Marion, AR 72364-1958 2008-05-05
1356376149 Counseling Consultants, Inc Clinic/Center 210 Manor St, Marion, AR 72364-1936 2006-07-11
1750334447 Lutheran Social Services of Il Clinic/Center 1616 W Main St, Marion, IL 62959-1146 2006-05-17
1407848500 Grant-blackford Mental Health, Inc. Clinic/Center 505 N Wabash Ave, Marion, IN 46952-2608 2005-08-16

Providers in the same taxonomy and state

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
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Competitor

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City MARION
Zip Code 62959

Improve Information

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Dataset Information

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.

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