Individual
MS. AMELIA M LUCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7405 CALIFORNIA AVE, HAMMOND, IN 46323
(630) 670-3336
Mailing address
430 E 162ND ST # 106, SOUTH HOLLAND, IL 60473-2258
(630) 670-3336
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041345850
IL
171M00000X
Case Manager/Care Coordinator
4203434
IL
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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