Provider Demographics
NPI:1659380889
Name:GLUEK, LOUIS A (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:A
Last Name:GLUEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3329
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-3329
Mailing Address - Country:US
Mailing Address - Phone:219-934-2652
Mailing Address - Fax:219-934-2658
Practice Address - Street 1:730 45TH STREET
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2818
Practice Address - Country:US
Practice Address - Phone:219-924-3300
Practice Address - Fax:219-934-2658
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01033299A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200135850AOtherMEDICAID IN GROUP
IN874640OtherMEDICARE GROUP
IN000000104771OtherANTHEM GROUP
90000692OtherBCIL GROUP
129555400OtherUS DEPT LABOR GROUP
IL001033299OtherBCIL GLUEK
092097OtherANTHEM DR GLUEK
IN100354260AMedicaid
4204310OtherAETNA DR GLUEK
900764OtherUNITED HLTHCARE DR GLUEK
20411OtherFIRST HEALTH DR GLUEK
IL90000692OtherBCIL GROUP
CI3318OtherRR MEDICARE GROUP
IN100354260AMedicaid
IN1170000002Medicare NSC
IL90000692OtherBCIL GROUP
092097OtherANTHEM DR GLUEK