MEDICARE: LUTHERAN SOCIAL SERVICES OF ILLINOIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	A-0286-0006-A	IL

General Provider Information

NPI Number	:	1265641898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHERAN SOCIAL SERVICES OF ILLINOIS

Provider Business Mailing Address
First Line	:	1001 E TOUHY AVE
Second Line	:	SUITE# 170
City	:	DES PLAINES
State	:	IL
Zip	:	60018-5801
Country	:	US
Telephone Number	:	847-635-4600
Fax Number	:	847-297-3407

Provider Business Practice Location Address
First Line	:	3220 W 115TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-2805
Country	:	US
Telephone Number	:	773-881-1900
Fax Number	:	773-881-3953

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. GERALD NOONAN
Credential	:
Telephone Number	:	847-635-4600

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1902839194 — MARK SACK DPM PC
Practice Location Address:

3216 W 115TH ST
CHICAGO, IL
60655-2805

Practice Phone: 773-238-7270
Practice Fax: 773-238-9627

1548286313 — MARK SACK DPM
Practice Location Address:

3216 W 115TH ST
CHICAGO, IL
60655-2805

Practice Phone: 773-238-7270
Practice Fax: 773-238-9627

1265504757 — DRS. ZLOTKOWSKI & PAPANICOLAS, INC
Practice Location Address:

3218 W 115TH ST
CHICAGO, IL
60655-2805

Practice Phone: 773-233-6800
Practice Fax: 773-233-7221

1053688648 — DR. JAMES D. PAPANICOLAS D.D.S.
Practice Location Address:

3218 W 115TH ST
CHICAGO, IL
60655-2805

Practice Phone: 773-233-6800
Practice Fax: 773-233-7221

1871860460 — DR. KENNETH ZLOTKOWSKI D.D.S.
Practice Location Address:

3218 W 115TH ST
CHICAGO, IL
60655-2805

Practice Phone: 773-233-6800
Practice Fax: 773-233-7221

1497799654 — DR. JEFFREY S RUSSELL D.O.
Practice Location Address:

327 W CHICAGO ST
COLDWATER, MI
49036-2805

Practice Phone: 517-278-8000
Practice Fax: 517-278-8007

Directions to “LUTHERAN SOCIAL SERVICES OF ILLINOIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.