Individual
DR. KEVIN W. LUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1624 W DIVISION ST STE B, CHICAGO, IL 60622-3908
(739) 697-9796
Mailing address
1624 W DIVISION ST STE B, CHICAGO, IL 60622-3908
(773) 697-9796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
136.000224
IL
1223P0300X
Periodontics
Primary
136.000224
IL
Other
Enumeration date
09/20/2017
Last updated
06/10/2025
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