Healthcare Provider Details

I. General information

NPI: 1467371963
Provider Name (Legal Business Name): LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 N FARNSWORTH AVE STE 11
AURORA IL
60505-1186
US

IV. Provider business mailing address

1700 N FARNSWORTH AVE STE 11
AURORA IL
60505-1186
US

V. Phone/Fax

Practice location:
  • Phone: 630-909-9411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: HEATHER MICHELLE OLSSON
Title or Position: SR DIRECTOR OF BEHAVIORAL HEALTH AN
Credential:
Phone: 773-447-9245