Individual
LUKE C TANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PA-C
Contact information
Practice address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(847) 535-7657
(224) 271-4600
Mailing address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(847) 535-7657
(224) 271-4600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011696
IL
Other
Enumeration date
06/03/2025
Last updated
12/09/2025
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