Individual
MARTIN G LUKEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 W 156TH ST, SUITE 205, HARVEY, IL 60426-4260
(708) 596-3344
Mailing address
71 W 156TH ST, SUITE 205, HARVEY, IL 60426-4260
(708) 596-3344
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036051447
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001629760
BCBS
IL
05
—
0360514473
—
IL
01
—
P00760032
RR MEDICARE
IL
Enumeration date
02/22/2006
Last updated
11/24/2009
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