Individual
DR. LUECHA RUTNGAMLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 HAWTHORN RD, SALEM, IL 62881-1028
(618) 548-4545
(618) 548-4577
Mailing address
1275 HAWTHORN RD, SALEM, IL 62881-1028
(618) 548-4545
(618) 548-4577
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036051046
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051046
—
IL
Enumeration date
10/05/2006
Last updated
11/18/2011
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