Provider Demographics
NPI:1467481184
Name:LOTRIET, LUKE MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:LUKE
Middle Name:MATTHEW
Last Name:LOTRIET
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15041 S VAN DYKE RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-5810
Mailing Address - Country:US
Mailing Address - Phone:815-327-3540
Mailing Address - Fax:815-828-0965
Practice Address - Street 1:15041 S VAN DYKE RD UNIT 101
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-5810
Practice Address - Country:US
Practice Address - Phone:815-327-3540
Practice Address - Fax:815-828-0965
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38010017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor