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Individual

ANGELA B LUTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
101 WAUKEGAN RD STE 650, LAKE BLUFF, IL 60044-1687
(248) 921-4938
(248) 921-4938
Mailing address
101 WAUKEGAN RD STE 650, LAKE BLUFF, IL 60044-1687
(248) 921-4938

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041488592
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209.034451
IL

Other

Enumeration date
09/17/2024
Last updated
01/31/2026
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