Lutheran Social Services Of Illinois

NPI 1063637684 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1063637684
Enumeration Date 04/17/2007
Last Updated 03/06/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERALD GERALD
Position CHIEF FINANCIAL OFFICER
Phone (773) 282-7800
Fax (773) 282-2163
Practice Location
4840 W BYRON ST
CHICAGO IL, 60641-2712, US
Phone (773) 282-7800
Fax (773) 282-2163
Business Location
1001 E TOUHY AVE
SUITE 170
DES PLAINES IL, 60018-5801, US
Phone (847) 635-4600
Fax (847) 297-3407
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
Remove 1063637684 NPI Number
 

According to our database, Lutheran Social Services Of Illinois NPI is 1063637684, taxonomy code is 363L00000X Lutheran Social Services Of Illinois physically located at 4840 W Byron St, Chicago IL, 60641-2712. NPI Number 1033115704 has the healthcare provider type.

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1063637684 NPI number is provided on an as is basis without warranty of any kind. 1063637684 is maintained by the National Plan & Provider Enumeration System. The contents of Lutheran Social Services Of Illinois are for informational purposes only.