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

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1932318920

Lutheran Social Services of Illinois is a Substance Use Disorder Rehabilitation Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
4
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Practice location Address checks out

5517 N Kenmore Ave
Chicago, IL 60640-1515
Phone: (773) 275-7962
Fax: (773) 275-0728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence A-0286-0009-A (IL)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence A-0286-0011-A (IL)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence A-0286-0008-A (IL)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence A-0286-0012-A (IL)

Record details

NPI number1932318920
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Stutrud — President · (847) 390-4651
Other names Bhs Kenmore Facility; Bhs Kenmore Facility
NPI enumeratedMay 22, 2007
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing address1001 E Touhy Ave Ste 50, Des Plaines, IL 60018-5817

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