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Luke Dettlo
NPI 1962899443 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5n600 Il Route 25
Saint Charles, IL 60174 - Phone
- (630) 846-8271
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Sex
- Male
- Record last updated
- 2015-04-22
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