Lutheran Social Services of Illinois
NPI 1063637684 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lutheran Social Services of Illinois is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Chicago, IL (NPI 1063637684).
Provider details
- NPI number
- 1063637684
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Stutrud, President(847) 635-4600
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Portage Cragin Outpatient
- Other name
- Portage Cragin Outpatient
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2019-12-31
- Certified
- 2019-12-31
Frequently asked questions
- What is Lutheran Social Services of Illinois's NPI number?
- Lutheran Social Services of Illinois's National Provider Identifier (NPI) is 1063637684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lutheran Social Services of Illinois?
- Lutheran Social Services of Illinois is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Lutheran Social Services of Illinois located?
- Lutheran Social Services of Illinois's practice location on file with NPPES is 4840 W Byron St, Chicago, IL 60641-2712.
- What is Lutheran Social Services of Illinois's phone number?
- The practice phone number listed in the NPPES registry for Lutheran Social Services of Illinois is (773) 282-7800.
- Does Lutheran Social Services of Illinois accept Medicare?
- Lutheran Social Services of Illinois is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lutheran Social Services of Illinois?
- The authorized official listed on Lutheran Social Services of Illinois's NPPES record is Mark Stutrud, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lutheran Social Services of Illinois's NPI active?
- Yes — Lutheran Social Services of Illinois's NPI (1063637684) is active in the NPPES registry as of the last update on 2019-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.