Individual
GUILLERMINA M LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1412 WAUKEGAN RD, GLENVIEW, IL 60025-2121
(847) 901-9840
Mailing address
1412 WAUKEGAN RD, GLENVIEW, IL 60025-2121
(847) 901-9840
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-004921
IL
363AM0700X
Medical Physician Assistant
1102
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65332571
—
CO
Enumeration date
12/20/2005
Last updated
05/21/2014
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