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LUTHERAN SOCIAL SERVICE OF IL
NPI 1104146802
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since June 03, 2010
1340 S DAMEN AVE STE 205, CHICAGO, IL 60608(312) 949-4340(312) 243-1866 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2020, Dec 7, 2015 (2 updates tracked since 2015).

About Lutheran Social Service Of Il NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUTHERAN SOCIAL SERVICE OF IL (NPI 1104146802) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since June 2010. The organization maintains a secondary practice location in Chicago and lists Mark Stutrud, President, as its authorized official.

NPPES Registry Identity

NPI1104146802
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLUTHERAN SOCIAL SERVICE OF IL
Location Address1340 S DAMEN AVE STE 205Chicago, IL 60608-1170
Mailing Address1001 E Touhy Ave, Suite 50Des Plaines, IL 60018-5801 · (847) 635-4600 · Fax (847) 635-6764
Phone(312) 949-4340
Fax(312) 243-1866
Organization SubpartNo
Authorized OfficialMark StutrudPresident · (847) 635-4600
Enumeration DateJune 3, 2010
Last NPPES UpdateJanuary 8, 20202 updates tracked since enumeration
✔ NPI 1104146802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · 04092
1340 S DAMEN AVE STE 205, Chicago, IL 60608
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Secondary Practice Location 1

Location 11340 S Damen Ave, Suite 205Chicago, IL 60608-1169 · Phone (312) 949-4340 · Fax (312) 243-1866

Other Providers at the Same Location NPPES 2

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

MR. GREGORY JOHN DEZULSKIS LCPC
Counselor (Professional)
1340 S DAMEN AVE STE 205
CHICAGO, IL 60608
Cook County (312) 738-5955
ESTHER HUNTER LCSW
Social Worker (Clinical)
1340 S DAMEN AVE STE 205
CHICAGO, IL 60608
Cook County (312) 690-7155

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 Service Of Il's NPI number?

The NPI number for Lutheran Social Service Of Il is 1104146802. It was assigned to this organization in the NPPES registry on June 3, 2010.

Where is Lutheran Social Service Of Il located?

Lutheran Social Service Of Il is located at 1340 S Damen Ave Ste 205, Chicago, IL 60608. The listed phone number is (312) 949-4340.

What is Lutheran Social Service Of Il'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.

When was this NPI record last updated?

The NPPES record for Lutheran Social Service Of Il was last updated on January 8, 2020. 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.