NPI 1508535618

Martie Ryan Lukanich Psy D PC

Organisation Community/Behavioral Health Agency Orland Park, IL

Practice location

Address: 9631 W 153rd St STE 37, Orland Park, IL 60462-3778
Phone: (708) 829-8277
Mailing address: 521 Bell Ave, La Grange, IL 60525-5903

Authorised official

Name: Martie Ryan Lukanich
Title: President
Phone: (708) 829-8277

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Illinois →

Registry record

NPI: 1508535618
Entity type: Organization
NPI issued: 10 Sep 2021
Record last updated: 10 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.