Individual
DR. MIRIAM S LUTWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1764 LAKE AVE, HIGHLAND PARK, IL 60035-3360
(847) 926-0212
(847) 681-0917
Mailing address
1764 LAKE AVE, HIGHLAND PARK, IL 60035-3360
(847) 433-9338
(847) 681-0917
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036073274
IL
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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