Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lutheran Social Services of Illinois

Organization Clinical Psychologist · NPI 1063637684

Lutheran Social Services of Illinois is a Clinical Psychologist in Chicago, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5

Practice location Address checks out

4840 W Byron St
Chicago, IL 60641-2712
Phone: (773) 282-7800
Fax: (773) 282-2163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Family Medicine Physician Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1063637684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Stutrud — President · (847) 635-4600
Other names Portage Cragin Outpatient; Portage Cragin Outpatient
NPI enumeratedApril 17, 2007
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing address1001 E Touhy Ave Ste 50, Des Plaines, IL 60018-5817

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