OrganizationActive
Lutheran Social Services of Illinois
NPI 1275744385 · Children's Substance Abuse Rehabilitation Facility · Nachusa, IL
Provider details
- NPI number
- 1275744385
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Gerald Noonan, Chief Financial Officer
- License
- A-0286-0018-A (IL)
Practice location
1261 Illinois Route# 38
Phoenix Unit
Nachusa, IL 61057-0100
Phone: (815) 284-7796
Fax: (815) 284-2537
Mailing address
1001 E Touhy Ave
Des Plaines, IL 60018-5801
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.