NPI:
1992915698
Provider Name:
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Other Name: BHS DIXON FACILITY
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1247 N. GALENA AVENUE
DIXON, IL
ZIP 61021
Phone:
(815) 288-6655
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LUTHERAN SOCIAL SERVICES OF ILLINOIS is a rehabilitation and substance use disorder clinic center in Dixon, IL. LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI is 1992915698. The provider is registered as an organization entity type.
The provider Other Name Is Bhs Dixon Facility.
The provider's business location address is:
1247 N. GALENA AVENUE
DIXON, IL
ZIP 61021-000
Phone: (815) 288-6655
Fax: (815) 288-2723
The provider's authorized official is Gerald Noonan .
The authorized official title is Chief Financial Officer and has the following contact phone number (847) 635-4600.
The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.