OrganizationActive
Lutheran Social Service of Il
NPI 1104146802 · Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
Provider details
- NPI number
- 1104146802
- 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
- License
- 04092 (IL)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 04092 (IL)
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1340 S Damen Ave Ste 205
Chicago, IL 60608-1170
Phone: (312) 949-4340
Fax: (312) 243-1866
Street-level locationGet directions
Mailing address
1001 E Touhy Ave
Des Plaines, IL 60018-5801
Additional practice locations (1)
- 1340 S Damen AveSuite 205Chicago, IL 60608-1169Phone: (312) 949-4340Fax: (312) 243-1866
Registry dates
- Enumerated
- 2010-06-03
- Last updated
- 2020-01-08
- Certified
- 2020-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.