Individual
DR. LUKSAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
241 GOLF MILL CENTER, SUITE 600, NILES, IL 60714
(847) 699-8888
(847) 699-8830
Mailing address
241 GOLF MILL CENTER, SUITE 600, NILES, IL 60714
(847) 699-8888
(847) 699-8830
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623055
BCBS OF IL
IL
01
—
P00143017
RAILROAD MEDICARE
IL
Enumeration date
11/02/2006
Last updated
07/08/2007
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