LUTHERAN SOCIAL SERVICES OF IL (NPI# 1366762064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366762064 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICES OF IL |
| Practice Address |
308 W State St Ste 205 Rockford IL 61101-1117 |
| Mailing Address |
1001 E Touhy Ave Suite 50 Des Plaines IL 60018-5801 |
| Practice Telephone | 8159698836 |
| Practice Fax Number | 8159698871 |
| Mailing Telephone | 8476354600 |
| Mailing Fax Number | 8476356764 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | MARK STUTRUD (PRESIDENT) |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 321 W State St, 4th & 5th Floors, Rockford, IL 611011137 | 8159698836 | 8159698817 |
| 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 |
| 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 |
| 1174576862 | Lutheran Social Services of Il | Clinic/Center | 3000 W Rohmann Ave, West Peoria, IL 61604-4842 | 2006-05-17 |
| Street Address |
308 W STATE ST STE 205 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61101-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
| 1013397561 | Charlene Donahoe | Student in an Organized Health Care Education/Training Program | 235 Wyman St, Rockford, IL 61101 | 2015-05-30 |
| 1205238623 | Crusaders Central Clinic Association | Clinic/Center | 1002 N Pierpont Ave, Rockford, IL 61101 | 2014-09-17 |
| 1780717454 | Hearing Pros Inc | Audiologist | 3902 West Riverside Blvd, In Wal Mart, Rockford, IL 61101 | 2007-03-13 |
| 1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
| 1265470496 | Daniel Sommer | Social Worker | 2823 Glenwood Avenue, Rockford, IL 61101 | 2006-06-02 |
| 1508093253 | Patricia Kroll | Social Worker | 526 W State Street, Rockford, IL 61101 | 2009-06-19 |
| 1346462330 | Carol J O'haron | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1356563332 | Lynn E Cadmus | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1083836928 | Carol L Craig | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| Find all providers in zip 61101 | ||||
| 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 |
|---|---|---|---|---|
| 1831486521 | Janet Wattles Center | Clinic/Center | 2014 Auburn St, Rockford, IL 61103-4479 | 2011-07-01 |
| 1659668333 | Janet Wattles Center | Clinic/Center | 2406 Auburn St, Rockford, IL 61103-4495 | 2011-07-01 |
| 1124313465 | Janet Wattles Center | Clinic/Center | 1422 20th St, Rockford, IL 61104-3519 | 2011-06-15 |
| 1578858817 | Janet Wattles Center | Clinic/Center | 1509 Benton St, Rockford, IL 61107-4322 | 2011-06-15 |
| 1306070032 | Along The Path Counseling Services P.C. | Clinic/Center | 433 S Phelps Ave, Suite 2, Rockford, IL 61108-2442 | 2009-05-09 |
| 1851457121 | Joseph H. Vaughn | Clinic/Center | 4875 Manhattan Dr, Rockford, IL 61108 | 2006-12-29 |
| 1558327544 | Janet Wattles Center | Clinic/Center | 526 W State St, Rockford, IL 61101-1214 | 2006-04-26 |
| 1194382069 | Jesse Belle Counseling Pllc | Clinic/Center | 1639 N Alpine Rd Ste 403, Rockford, IL 61107-1440 | 2019-05-24 |
| 1942771548 | Center for The Healing Mind Pllc | Clinic/Center | 6653 Weaver Rd Ste 105, Rockford, IL 61114-8052 | 2018-12-09 |
| 1114493772 | Remedies Renewing Lives | Clinic/Center | 220 Easton Pkwy, Rockford, IL 61108-2203 | 2018-10-22 |
| Find all providers in ROCKFORD | ||||
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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.