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Lutheran Social Services of Illinois

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Aurora, IL

NPI 1295908689 · NPPES record last updated Apr 8, 2008

Key facts

NPI
1295908689
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
926169 (IL)
Legal business name
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Practice address
560 W Galena Blvd
Aurora, IL 60506-3855
Phone
(630) 892-8418
Fax
(630) 892-8452
NPI assigned
Apr 8, 2008
Organization subpart
No

Authorized official

Name
Mr. Jerry Noonan
Title
Chief Financial Officer
Phone
(847) 635-4600

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lutheran Social Services of Illinois (65 organizations share this tax ID)

Locations

560 W Galena Blvd
Aurora, IL 60506
Phone (630) 892-8418

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 926169 IL Yes

Addresses

Primary practice location

560 W Galena Blvd
Aurora, IL 60506-3855

Mailing address

1001 E Touhy Ave
Suite 170
Des Plaines, IL 60018-5801
Phone (847) 635-4600

Other identifiers

IdentifierTypeStateIssuer
926169OtherILDEPT OF HUMAN SERVICES

Other names

  • Fox Hill Prader Willi Group Home Other name

Other providers in Aurora, IL

All providers in Aurora, IL · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

Sources for this page

Verify at the official NPI Registry.