| Dr. Martie Ryan Lukanich | |
|
9601 165th St Suite 6 Orland Park IL 60467-5660 | |
| (708) 829-8277 | |
| (708) 352-2305 |
| Full Name | Dr. Martie Ryan Lukanich |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9601 165th St, Orland Park, Illinois |
| Authorized Official Name and Position | Martie Ryan Lukanich (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7088298277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Martie Ryan Lukanich 9601 165th St Suite 6 Orland Park IL 60467-5660 Ph: (708) 829-8277 | Dr. Martie Ryan Lukanich 9601 165th St Suite 6 Orland Park IL 60467-5660 Ph: (708) 829-8277 |
| NPI Number | 1740403476 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740403476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
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