Active NPI
Luckose M. Luke MD S.C.
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1801825963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LUCKOSE M. LUKE MD S.C.
- Practice address
- 7531 S Stony Island Ave
Jackson Hospital & Medical Center
Chicago, IL 60649-3954 - Phone
- (773) 947-7900
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luckose M Luke, M.D.
- Title
- Physician
- Phone
- (773) 947-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
7531 S Stony Island Ave
Jackson Hospital & Medical Center
Chicago, IL 60649-3954
Mailing address
6210 N Lenox Ave
Chicago, IL 60646-4822
Phone (773) 947-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086458 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469577600000",
"number": "1801825963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 N LENOX AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464822",
"telephone_number": "773-947-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7531 S STONY ISLAND AVE",
"address_2": "JACKSON HOSPITAL & MEDICAL CENTER",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493954",
"telephone_number": "773-947-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCKOSE M. LUKE MD S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2016-07-27",
"status": "A",
"authorized_official_last_name": "LUKE",
"authorized_official_first_name": "LUCKOSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "773-947-7900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086458",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.