Individual
LUKE MICHAEL FERENCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(847) 578-3000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041474519
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209032553
IL
Other
Enumeration date
09/13/2023
Last updated
08/11/2025
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