MEDICARE: DR. LUKE SHILLIG DC

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	111N00000X	Chiropractor	9259	AZ

General Provider Information

NPI Number	:	1235838368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUKE SHILLIG DC

Provider Business Mailing Address
First Line	:	41818 N VENTURE DR STE 160
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85086-3188
Country	:	US
Telephone Number	:	623-551-6677
Fax Number	:

Provider Business Practice Location Address
First Line	:	41818 N VENTURE DR STE 160
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85086-3188
Country	:	US
Telephone Number	:	623-551-6677
Fax Number	:

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

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	01/12/2026

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Directions to “ DR. LUKE SHILLIG DC” Practice Location

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