LUTHERAN SOCIAL SERVICES OF ILLINOIS
NPI 1205399524
Clinic/Center - Rehabilitation, Substance Use Disorder in Chicago, IL

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

The NPI number for Lutheran Social Services Of Illinois is 1205399524. It was assigned to this organization in the NPPES registry on April 12, 2019. The provider is doing business as LSSI MADO Healthcare Buena Park.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since April 12, 2019

940 W CULLOM AVE, CHICAGO, IL 60613(224) 275-1978(847) 297-3314 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lutheran Social Services Of Illinois NPPES

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

LUTHERAN SOCIAL SERVICES OF ILLINOIS (NPI 1205399524), doing business as Lssi Mado Healthcare Buena Park, is a healthcare organization registered as a rehabilitation, substance use disorder in Chicago, Illinois and active in the NPI registry since April 2019. The organization lists Greerann Lovette Hamblet, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1205399524

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameLUTHERAN SOCIAL SERVICES OF ILLINOIS

Location Address940 W CULLOM AVEChicago, IL 60613-1619

Mailing Address1001 E Touhy Ave Ste 170Des Plaines, IL 60018-5800 · (847) 390-1422 · Fax (847) 297-3407

Phone(224) 275-1978

Fax(847) 297-3314

Organization SubpartNo

Authorized OfficialGreerann Lovette HambletBusiness Manager · (847) 390-1422

Enumeration DateApril 12, 2019

✔ NPI 1205399524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

940 W CULLOM AVE, Chicago, IL 60613

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Other Names 1

Doing Business AsLssi Mado Healthcare Buena Park

Other Identifiers 1

MedicaidA-0286-0031-AIL

Other Providers at the Same Location NPPES

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

NINE FORTY CULLOM CORPORATION

Intermediate Care Facility, Mental Illness

940 W CULLOM AVE
CHICAGO, IL 60613

Cook County (773) 525-9000

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 1205399524. It was assigned to this organization in the NPPES registry on April 12, 2019. The provider is doing business as LSSI MADO Healthcare Buena Park.

Where is Lutheran Social Services Of Illinois located?

Lutheran Social Services Of Illinois is located at 940 W Cullom Ave, Chicago, IL 60613. The listed phone number is (224) 275-1978.

What is Lutheran Social Services Of Illinois's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Lutheran Social Services Of Illinois was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.