Search › Illinois › 1223G0001X
Michael Luckett
NPI 1134290877 · on the registry since 2006
Practice
- Address
- 4839 Cal Sag Rd # 310
Crestwood, IL 60418 - Phone
- (708) 597-9055
- Fax
- (216) 584-7062
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois