Mr. Luke Detloff
Mr. Luke Detloff is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
600 S Paulina St Ste 403Chicago, IL 60612-3806
Phone: (312) 942-7100
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 57.255086 (OH) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1104409382 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2021 |
| Last updated in NPPES | June 25, 2023 |
| Certification date | June 25, 2023 |
| Mailing address | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 |
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