Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038.011459 | IL |
NPI | 1003144841 |
---|---|
Provider Name | Dr. Luke P Sena |
First Address | Glendale Heights, IL 60139-5919 |
Second Address | Glendale Heights, IL 60139-5919 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2009 |
Last Update Date | 25/07/2011 |