LUTHERAN SOCIAL SERVICES OF IL NPI 1639499338

NPI Information

  • NPI: 1639499338
  • Provider Name: LUTHERAN SOCIAL SERVICES OF IL
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 167 N KELLOGG ST
    GALESBURG, IL
    ZIP 61401
  • Phone: (309) 343-7681

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NPI Details

LUTHERAN SOCIAL SERVICES OF IL is a mental health (including community mental health center) clinic center in Galesburg, IL. LUTHERAN SOCIAL SERVICES OF IL NPI is 1639499338. The provider is registered as an organization entity type.

The provider's business location address is:

167 N KELLOGG ST
GALESBURG, IL
ZIP 61401-714
Phone: (309) 343-7681
Fax: (309) 343-6326

The provider's authorized official is Gerald E Noonan .
The authorized official title is V.p. Finance/cfo and has the following contact phone number (847) 635-4600.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 6/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)04092ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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