Individual
LUKE KLOFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2109
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
IL
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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