Individual
LUKE WALLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1316 SHERMAN AVE, EVANSTON, IL 60201-4361
(847) 425-9708
Mailing address
1316 SHERMAN AVE, EVANSTON, IL 60201-4361
(847) 425-9708
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
804
IL
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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