Individual
DR. LUTHER WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2744 W 63RD ST, CHICAGO, IL 60629-2343
(773) 434-4626
(833) 450-5178
Mailing address
2744 W 63RD ST, CHICAGO, IL 60629-2343
(773) 434-4626
(833) 450-5178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.167793
IL
Other
Enumeration date
04/29/2019
Last updated
06/17/2024
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