Provider Demographics
NPI:1346470465
Name:SEIKO, LUAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:LUAN
Middle Name:
Last Name:SEIKO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24103 W LOCKPORT ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-1721
Mailing Address - Country:US
Mailing Address - Phone:773-326-5504
Mailing Address - Fax:
Practice Address - Street 1:24103 W LOCKPORT ST
Practice Address - Street 2:SUITE 103
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-1721
Practice Address - Country:US
Practice Address - Phone:773-326-5504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005422213ES0103X, 213E00000X
IN07001126A213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery