Provider Demographics
NPI:1194162206
Name:LUECKFELD, ALISON K (PT)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:K
Last Name:LUECKFELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:RAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3405 N ARLINGTON HEIGHTS ROAD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004
Mailing Address - Country:US
Mailing Address - Phone:847-577-9300
Mailing Address - Fax:847-577-9318
Practice Address - Street 1:3405 N ARLINGTON HEIGHTS ROAD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-577-9300
Practice Address - Fax:847-577-9318
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070017191225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist