Lutheran Social Services of Illinois
Lutheran Social Services of Illinois is an Intellectual Disabilities Intermediate Care Facility in Lockport, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
16240 S Parker RdLockport, IL 60491-9081
Phone: (708) 301-6870
Fax: (708) 301-6878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 0039263 (IL) |
|---|
Record details
| NPI number | 1497965842 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gerald Noonan — Chief Financial Officer · (847) 635-4600 |
| Other names | Shady Oaks East |
| NPI enumerated | May 23, 2007 |
| Last updated in NPPES | July 15, 2016 |
| Mailing address | 1001 E Touhy Ave, Suite# 170, Des Plaines, IL 60018-5801 |
Other providers in Lockport
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Lutheran Social Services of Illinois
16220 S Parker Rd, Lockport, IL 60491-9081 · (708) 301-0571