Lutheran Social Services of Illinois
Lutheran Social Services of Illinois is a Clinical Psychologist in Blue Island, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 5
Practice location Address checks out
12940 Western Ave Ste 300Blue Island, IL 60406-4154
Phone: (708) 489-2894
Fax: (708) 489-5413
Show map & directions
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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 number | 1710599956 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Stutrud — President · (847) 635-4600 |
| Other names | Lssi Blue Island |
| NPI enumerated | August 19, 2020 |
| Last updated in NPPES | August 19, 2020 |
| Certification date | August 19, 2020 |
| Mailing address | 1001 E Touhy Ave Ste 50, Des Plaines, IL 60018-5817 |