SHADY OAKS WEST
NPI 1164633657
Intermediate Care Facility, Intellectual Disabilities in Lockport, IL

Q: What is Lutheran Social Services Of Illinois's NPI number?

The NPI number for Lutheran Social Services Of Illinois is 1164633657. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is also known as Shady Oaks West.

Q: What is Lutheran Social Services Of Illinois's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since May 25, 2007

16220 S PARKER RD, LOCKPORT, IL 60491(708) 301-0571(708) 301-0573 Get Directions Write a Review

NPPES record last updated: July 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shady Oaks West NPPES

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

SHADY OAKS WEST (NPI 1164633657) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lockport, Illinois and active in the NPI registry since May 2007. The organization lists Gerald Noonan, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1164633657

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameLUTHERAN SOCIAL SERVICES OF ILLINOIS

Location Address16220 S PARKER RDLockport, IL 60491-9081

Mailing Address1001 E Touhy Ave, Suite# 170Des Plaines, IL 60018-5801 · (847) 635-4600 · Fax (847) 297-3407

Phone(708) 301-0571

Fax(708) 301-0573

Organization SubpartNo

Authorized OfficialGerald NoonanChief Financial Officer · (847) 635-4600

Enumeration DateMay 25, 2007

Last NPPES UpdateJuly 15, 2016

✔ NPI 1164633657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in IL · 0040527

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

16220 S PARKER RD, Lockport, IL 60491

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Other Names 1

Other NameShady Oaks West

Other Identifiers 1

Medicaid=========6155001IL

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 1164633657. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is also known as Shady Oaks West.

Where is Lutheran Social Services Of Illinois located?

Lutheran Social Services Of Illinois is located at 16220 S Parker Rd, Lockport, IL 60491. The listed phone number is (708) 301-0571.

What is Lutheran Social Services Of Illinois's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Lutheran Social Services Of Illinois was last updated on July 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.