Mittelstaedt, Luke Alan

Mittelstaedt, Luke Alan is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mittelstaedt, Luke Alan can be contacted via phone (708) 684-5375.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-5375
Fax: (708) 684-1028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 125.082110 Illinois

Profile Details

NPI number 1427752393
LBN Legal business name Mittelstaedt, Luke Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2023
Last updated Jun 19th, 2023 - about 3 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.

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