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BHS KENMORE FACILITY
NPI 1932318920
Clinic/Center - Rehabilitation, Substance Use Disorder in Chicago, IL

Active since May 22, 2007CLIA 14D1053313 · Waiver
5517 N KENMORE AVE, CHICAGO, IL 60640(773) 275-7962(773) 275-0728 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bhs Kenmore Facility NPPES

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

BHS KENMORE FACILITY (NPI 1932318920) is a healthcare organization registered as a rehabilitation, substance use disorder in Chicago, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Mark Stutrud, President, as its authorized official.

NPPES Registry Identity

NPI1932318920
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameLUTHERAN SOCIAL SERVICES OF ILLINOIS
Location Address5517 N KENMORE AVEChicago, IL 60640-1515
Mailing Address1001 E Touhy Ave Ste 50Des Plaines, IL 60018-5817 · (847) 635-4600 · Fax (847) 297-3407
Phone(773) 275-7962
Fax(773) 275-0728
Organization SubpartNo
Authorized OfficialMark StutrudPresident · (847) 390-4651
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1932318920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in IL · A-0286-0009-A
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License A-0286-0011-A (IL), A-0286-0008-A (IL), A-0286-0012-A (IL)
5517 N KENMORE AVE, Chicago, IL 60640
Open in Google Maps ↗

Other Names 1

Other NameBhs Kenmore Facility

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1053313

Lutheran Social Services Il · Chicago, IL
Active · expires Apr 19, 2028
CLIA Number14D1053313
Laboratory TypeHiv Early Interventions
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorFrank Harris
Laboratory Phone(773) 275-7962
Laboratory LocationLutheran Social Services Il5517 N Kenmore-Building - Room 201, Chicago, IL 60640
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

MR. FRANK DARRYL HARRIS LCSW, CADC
Social Worker
5517 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 275-7962
DEMIA WASHINGTON
Licensed Practical Nurse
5517 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 275-7962
MRS. BROOKE SHELDON
Counselor (Addiction (Substance Use Disorder))
5517 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 275-1972
JONATHAN HILLIARD LPN
Licensed Practical Nurse
5517 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 275-7962
KRISTEN WARD
Registered Nurse (Addiction (Substance Use Disorder))
5517 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 275-7962
RIGOBERTO ACOSTA
Licensed Practical Nurse
5517 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 275-7962
SUZZETTE BROWN RN
Registered Nurse
5517 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 275-7962
LENITA MILLER RN
Registered Nurse
5517 N KENMORE AVE
CHICAGO, IL 60640
Cook County (773) 275-7962

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 1932318920. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Lutheran Social Services Of Illinois located?

Lutheran Social Services Of Illinois is located at 5517 N Kenmore Ave, Chicago, IL 60640. The listed phone number is (773) 275-7962.

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.

Does Lutheran Social Services Of Illinois hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1053313) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 August 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.