Individual
LUKE PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 S WOOD ST, CHICAGO, IL 60612-4300
(866) 600-2273
Mailing address
912 S WOOD ST, CHICAGO, IL 60612-4300
(312) 996-2019
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.151268
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
07/22/2021
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