MEDICARE: CHARLES DAVID LUCKE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	085009378	IL

General Provider Information

NPI Number	:	1841914892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES DAVID LUCKE PA-C

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE STE 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:	847-982-3363
Fax Number	:

Provider Business Practice Location Address
First Line	:	9977 WOODS DR STE 100
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-1057
Country	:	US
Telephone Number	:	224-364-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	03/23/2026

Similar Medicare Providers

1891580445 — VERONICA MUSSAY PA-C
Practice Location Address:

9977 WOODS DR
SKOKIE, IL
60077-1057

Practice Phone: 224-364-2273
Practice Fax:

1639817695 — JESSICA PUTNICK SANDSTROM PA-C
Practice Location Address:

9977 WOODS DR STE 165
SKOKIE, IL
60077-1057

Practice Phone: 224-364-2273
Practice Fax:

1013588607 — AUSTINAH J PEDIAN PA-C
Practice Location Address:

9977 WOODS DR STE 100
SKOKIE, IL
60077-1057

Practice Phone: 224-364-2273
Practice Fax: 847-663-8290

1083171813 — EAMANN AYYAD APN-CNP
Practice Location Address:

9977 WOODS DR
SKOKIE, IL
60077-1057

Practice Phone: 224-364-2273
Practice Fax:

1093222895 — JAIMIE SALISE APN-CNP
Practice Location Address:

9977 WOODS DR STE 100
SKOKIE, IL
60077-1057

Practice Phone: 224-364-2273
Practice Fax: 847-663-8290

1326768227 — ELIZABETH STERNBERG PA-C
Practice Location Address:

9977 WOODS DR # 300
SKOKIE, IL
60077-1057

Practice Phone: 847-663-8540
Practice Fax: 847-663-1015

Directions to “ CHARLES DAVID LUCKE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.