Healthcare Provider Details

I. General information

NPI: 1851186746
Provider Name (Legal Business Name): LUKAN CLINICAL COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 ESPLANADE DR STE 206
ALGONQUIN IL
60102-5454
US

IV. Provider business mailing address

2390 ESPLANADE DR STE 206
ALGONQUIN IL
60102-5454
US

V. Phone/Fax

Practice location:
  • Phone: 847-409-4119
  • Fax:
Mailing address:
  • Phone: 847-409-4119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. CONNIE GANOW
Title or Position: OFFICE MANAGER
Credential:
Phone: 847-409-4119