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1508535618
MARTIE RYAN LUKANICH PSY D PC
ORLAND PARK, IL
NPI
1508535618
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Entity Type
Organization
Authorized Contact
MARTIE RYAN LUKANICH
President
708-829-8277
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2021-09-10
Last Update Date
2021-09-10
Business Address
MARTIE RYAN LUKANICH PSY D PC
9631 W 153RD ST STE 37
ORLAND PARK, IL 60462-3778
Phone number: 708-829-8277
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Mailing Address
MARTIE RYAN LUKANICH PSY D PC
521 BELL AVE
LA GRANGE, IL 60525-5903
Phone number: 708-829-8277
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