1740403476 NPI number — DR. MARTIE RYAN LUKANICH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740403476 NPI number — DR. MARTIE RYAN LUKANICH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. MARTIE RYAN LUKANICH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740403476
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9601 165TH ST
Provider Second Line Business Mailing Address:
SUITE 6
Provider Business Mailing Address City Name:
ORLAND PARK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60467-5660
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-829-8277
Provider Business Mailing Address Fax Number:
708-352-2305

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9601 165TH ST
Provider Second Line Business Practice Location Address:
SUITE 6
Provider Business Practice Location Address City Name:
ORLAND PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60467-5660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-829-8277
Provider Business Practice Location Address Fax Number:
708-352-2305
Provider Enumeration Date:
04/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LUKANICH
Authorized Official First Name:
MARTIE
Authorized Official Middle Name:
RYAN
Authorized Official Title or Position:
PROFESSIONAL COUNSELOR
Authorized Official Telephone Number:
708-829-8277

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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