PORTAGE CRAGIN OUTPATIENT
NPI 1063637684
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since April 17, 2007
4840 W BYRON ST, CHICAGO, IL 60641(773) 282-7800(773) 282-2163 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1063637684
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLUTHERAN SOCIAL SERVICES OF ILLINOIS
Location Address4840 W BYRON STChicago, IL 60641-2712
Mailing Address1001 E Touhy Ave Ste 50Des Plaines, IL 60018-5817 · (847) 635-4600 · Fax (847) 297-3407
Fax(773) 282-2163
Organization SubpartNo
Authorized OfficialMark StutrudPresident · (847) 635-4600
Enumeration DateApril 17, 2007
Last NPPES UpdateDecember 31, 2019
NPI 1063637684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
4840 W BYRON ST, Chicago, IL 60641

Other Names 1

Other NamePortage Cragin Outpatient

Other Identifiers 1

Other0001618748IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4840 W BYRON ST
CHICAGO, IL 60641
Social Worker (Clinical)
4840 W BYRON ST
CHICAGO, IL 60641
Social Worker (Clinical)
4840 W BYRON ST
CHICAGO, IL 60641
Social Worker (Clinical)
4840 W BYRON ST
CHICAGO, IL 60641
Counselor (Mental Health)
4840 W BYRON ST
CHICAGO, IL 60641
Counselor (Professional)
4840 W BYRON ST
CHICAGO, IL 60641
Clinic/Center (Community Health)
4840 W BYRON ST
CHICAGO, IL 60641
Clinic/Center (Adult Mental Health)
4840 W BYRON ST
CHICAGO, IL 60641

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.

What insurance does Lutheran Social Services Of Illinois accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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.