Luther, Mary
Luther, Mary is an individual health care provider with primary practice located at 411 W Saint Charles Rd , Villa Park IL 60181-2432. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Luther, Mary can be contacted via phone (630) 691-1234.Contact Information
Primary practice address
411 W Saint Charles Rd
Villa Park IL 60181-2432
Phone: (630) 691-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1831168871 |
|---|---|
| LBN Legal business name | Luther, Mary |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Mar 28th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831168871 | NPPES |
| Illinois | Other | 02232410 | BCBSIL |
| Illinois | Other | P00120402 | BCBSIL |
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