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Carlos Luis, ATC
NPI 1295160984 · on the registry since 2013
Practice
- Address
- 12603 State Route 143
Ste. #8
Highland, IL 62249 - Phone
- (618) 654-4701
- Fax
- (618) 654-4739
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-12
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