Individual
MATILDA LUTAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10350 HALIGUS RD STE A, HUNTLEY, IL 60142-9545
(815) 338-6600
(847) 802-7162
Mailing address
10350 HALIGUS RD STE A, HUNTLEY, IL 60142-9545
(815) 338-6600
(847) 802-7162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209028960
IL
363LF0000X
Family Nurse Practitioner
209.028960
IL
Other
Enumeration date
12/06/2023
Last updated
02/19/2025
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