Christine M Lukanich, CNM/WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209000111 Issued in IL

Practice address

17850 Kedzie Ave Ste 1500
Hazel Crest, IL 60429-2055

Phone

(708) 799-7780

Fax

(708) 433-2730

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1528055225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740001",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE STE 1500",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292055",
            "telephone_number": "708-799-7780",
            "fax_number": "708-433-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKANICH",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "CNM/WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209000111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott E Lipson, M.D.
• Yang Liu, M.D.
• Monica Logan, MD
• Annette Loni
• David S Looyenga, M.D.
• Diana Maberry
• Gladys Macagba, D.O
• Aaron James Magana, DO
• Robin Major, FNP-BC
• Usha D Malkerneker, MD

• Women's Health Nurse Practitioner in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.