Individual
MRS. SARAH G HALM LUTTERODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN,CNS
Contact information
Practice address
1625 E 75TH ST, SECOND FLOOR, CHICAGO, IL 60649-3603
(773) 947-7800
Mailing address
1625 E 75TH ST, SECOND FLOOR, CHICAGO, IL 60649-3603
(773) 947-7800
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
209-005280
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
209-005280
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209-005280
—
IL
Enumeration date
03/26/2007
Last updated
04/30/2013
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