SearchIllinois101Y00000X

Susan Luiten

NPI 1912204066 · on the registry since 2011 · sole proprietor

Practice

Address
7031 N Patton Ln
Peoria, IL 61614
Phone
(309) 369-9103
Fax
(309) 692-8775

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-02-24

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