Healthcare Provider Details

I. General information

NPI: 1316875271
Provider Name (Legal Business Name): LUKE STICKLER PHARMD, AAHIVP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 S WOOD ST STE 105
CHICAGO IL
60612-7229
US

IV. Provider business mailing address

1183 GREENERY LN
CINCINNATI OH
45233-4893
US

V. Phone/Fax

Practice location:
  • Phone: 513-680-9444
  • Fax:
Mailing address:
  • Phone: 513-680-9444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number051306433
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: