Active NPI
Lutheran Social Services of Illinois
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Des Plaines, IL
National Provider Identifier
1720430606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 199200169C
- Legal business name
- LUTHERAN SOCIAL SERVICES OF ILLINOIS
- Practice address
- 1001 E Touhy Ave
Suite 170
Des Plaines, IL 60018-5801 - Phone
- (847) 635-4600
- NPI assigned
- Jul 5, 2016
- Last updated
- Jul 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerald Noonan
- Title
- Chief Financial Officer
- Phone
- (847) 635-4600
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | |||
| Registered Nurse | 163W00000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 199200169C | IL | Primary |
Addresses
Primary practice location
1001 E Touhy Ave
Suite 170
Des Plaines, IL 60018-5801
Mailing address
1001 E Touhy Ave
Suite 170
Des Plaines, IL 60018-5801
Phone (847) 635-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199200169C | Other | IL | STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES |
Other names 1
- LSSI CILA
National Provider Directory
National Provider Directory- Tax ID family
- Lutheran Social Services of Illinois
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Champaign, IL
- NPI 1467772160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sterling, IL
- NPI 1619297314
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Galesburg, IL
- NPI 1639499338
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Marion, IL
- NPI 1750334447
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1831544378
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Sterling, IL
- NPI 1417166034
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1477762177
-
- Developmentally Disabled Services Day Training Agency
- Homer Glen, IL
- NPI 1477904555
-
- Intellectual Disabilities Intermediate Care Facility
- Lockport, IL
- NPI 1497965842
-
- Community/Behavioral Health Agency
- Villa Park, IL
- NPI 1528193737
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- East Saint Louis, IL
- NPI 1578942108
-
dba LSSI MADO Healthcare Old Town
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1659840221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469664000000",
"number": "1720430606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E TOUHY AVE",
"address_2": "SUITE 170",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600185801",
"telephone_number": "847-635-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E TOUHY AVE",
"address_2": "SUITE 170",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600185801",
"telephone_number": "847-635-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN SOCIAL SERVICES OF ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-05",
"last_updated": "2016-07-28",
"status": "A",
"authorized_official_last_name": "NOONAN",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "847-635-4600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "IL",
"license": "199200169C",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES",
"identifier": "199200169C",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LSSI CILA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.