Lutterbie, DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LUTTERBIE, DDS, PC

Practice address

10 S Riverside PLZ
Ste 19 East
Chicago, IL 60606-3728

Phone

(773) 770-0140

Fax

(312) 277-6757

NPI assigned

Nov 1, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vincent M Lutterbie, DDS

Title

Owner

Phone

(773) 770-0140

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1467706226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S RIVERSIDE PLZ",
            "address_2": "STE 19 EAST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063728",
            "telephone_number": "773-770-0140",
            "fax_number": "312-277-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTTERBIE, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "LUTTERBIE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-770-0140",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elianora A Lutin
• Jocelyn Marie Lutkus, RD, CSO, LDN, PA-C
• Zofia Anna Lutnicka, LCMT
• Fiona Lutolli, MD
• Bethany Lutter, MD
• Elizabeth Sand Luttmer-Mohs
• James Luttrell
• Alexandra Jeanne Lutz, MA, LPC, NCC
• Courtenay Megan Lutz, APRN
• Craig M Lutz, PT

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.