PORTAGE CRAGIN OUTPATIENT
NPI 1063637684
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL
About Portage Cragin Outpatient NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTAGE CRAGIN OUTPATIENT (NPI 1063637684) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since April 2007. The organization lists Mark Stutrud, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Portage Cragin Outpatient is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Portage Cragin Outpatient, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 38Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lutheran Social Services Of Illinois's NPI number?
The NPI number for Lutheran Social Services Of Illinois is 1063637684. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is also known as Portage Cragin Outpatient.
Where is Lutheran Social Services Of Illinois located?
Lutheran Social Services Of Illinois is located at 4840 W Byron St, Chicago, IL 60641. The listed phone number is (773) 282-7800.
What is Lutheran Social Services Of Illinois's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Lutheran Social Services Of Illinois enrolled in Medicare?
Yes. Lutheran Social Services Of Illinois is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lutheran Social Services Of Illinois?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 5 Medicare specialties reassign their Medicare billing to Lutheran Social Services Of Illinois. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (17), Nurse Practitioner (12) and Mental Health Counselor (4). Of these, 11 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lutheran Social Services Of Illinois accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Lutheran Social Services Of Illinois as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lutheran Social Services Of Illinois was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Portage Cragin Outpatient · NPI 1063637684
Mental Health (Including Community Mental Health Center) organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since April 17, 2007.
## Identity
- **NPI:** 1063637684 (Entity type: Organization)
- **Enumerated:** April 17, 2007
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Lutheran Social Services Of Illinois
- **Organization subpart:** No
- **Authorized official:** Mark Stutrud, PRESIDENT
## Practice location
- **Address:** 4840 W BYRON ST, Chicago, IL 60641-2712
- **Phone:** (773) 282-7800 · **Fax:** (773) 282-2163
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 38 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (17), Nurse Practitioner (12), Mental Health Counselor (4); 11 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1063637684/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2019
- **Other identifiers:** Other 0001618748 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1063637684) · Data from the CMS NPPES public registry.