Individual
ANDREW LUITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 E ROOSEVELT RD STE 8, WHEATON, IL 60187-6850
(630) 588-1201
Mailing address
7031 N PATTON LN, PEORIA, IL 61614-1918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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