LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS – NPI #1497084347
Clinic/Center

LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS is an AHC clinic located in MOUNT VERNON, IL. NPPES has assigned the NPI number 1497084347 to LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS on December 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center) Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Nov 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS below.

NPI Profile for
LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS

NPI Number
1497084347
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS
Primary location
618 S. 42ND ST
MOUNT VERNON, IL 62864
Phone: (618) 242-3284 Fax: (618) 242-3288
Mailing address
1 OAKBROOK TER STE 501
OAKBROOK TERRACE, IL 60181-4479
Phone: (708) 771-7180 Fax:
Organization Subpart
No
Authorized Official
JAMES WEBSTER
SYSTEM SUPPORT ANALYST
Phone: (708) 907-1583
Updated
Certification Date
Nov 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LUTHERAN CHILD AND FAMILY SERVICE OF ILLINOIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIL2B05-CHR-025
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.