Most Relevant Information
Provider Data
| NPI Number: | 1003646407 |
| Provider Name: | LUKE PICEK MS LAT ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 096.005599 |
Most Important Dates
| Enumeration Date: | 08/02/2024 |
| Last Updated: | 08/02/2024 |
Provider Practice Location
2401 RAVINE WAY # 100
GLENVIEW
IL
600257645
Practice Location Phone/Fax
| Phone: | 8474991708 |
| Fax: |
Provider Mailing Location
124 6TH ST
DOWNERS GROVE
IL
605155361
Provider Mailing Phone/Fax
| Phone: | 7085481738 |
| Fax: |