Organization
LUCKOSE M. LUKE MD S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCKOSE M LUKE M.D. (PHYSICIAN)
(773) 947-7900
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, JACKSON HOSPITAL & MEDICAL CENTER, CHICAGO, IL 60649-3954
(773) 947-7900
Mailing address
6210 N LENOX AVE, CHICAGO, IL 60646-4822
(773) 947-7900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086458
—
IL
Enumeration date
07/01/2006
Last updated
07/27/2016
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