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Mr. Luke Gleason
Student in an Organized Health Care Education/Training Program in La Grange, Illinois
NPI 1871936385

Luke Gleason is a Student in an Organized Health Care Education/Training Program based in La Grange, IL. Luke Gleason practices in La Grange, IL. The NPI Number for Luke Gleason is 1871936385 and holds a License No. G425-5209-2025 (Illinois).

The current practice location address for Luke Gleason is 537 S Spring Ave, La Grange, IL and can be reached out via phone at 708-476-8481.

Location: 537 S Spring Ave, La Grange, IL, 60525-2750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871936385
Provider Name
Luke Gleason
Credential
Provider Entity Type
Individual
Gender
Male
Address
537 S Spring Ave, La Grange, IL, 60525-2750
Phone Number
708-476-8481
Fax Number
Provider Enumeration Date
04/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
537 S Spring Ave
City
La Grange
State
Illinois
Zip
60525-2750
Phone Number
708-476-8481
Fax Number
person
Provider Business Mailing Address Details
Address
537 S Spring Ave
City
La Grange
State
Illinois
Zip
60525-2750
Phone Number
708-476-8481
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
G425-5209-2025 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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