Provider Demographics
NPI:1730690850
Name:ROMESBERG, LUKE (MA, LPC, CADC)
Entity type:Individual
Prefix:MR
First Name:LUKE
Middle Name:
Last Name:ROMESBERG
Suffix:
Gender:M
Credentials:MA, LPC, CADC
Other - Prefix:MR
Other - First Name:LUKE
Other - Middle Name:
Other - Last Name:ROMESBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC, CADC
Mailing Address - Street 1:2601 W MARQUETTE RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-1817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2601 W MARQUETTE RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-1817
Practice Address - Country:US
Practice Address - Phone:773-349-8054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178011861101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)