Physician Compare National (NPI:1659370062)

HEALTHCARE PROVIDER: DANIEL LOUIS LUETKEHANS D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1659370062
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284655762
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090226000055
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LUETKEHANS
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3825 HIGHLAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3061
	Group Practice or individual's line 2 address
City	DOWNERS GROVE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605151552
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140288
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVOCATE GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y