DR. LUECHA RUTNGAMLUG MD
NPI 1174619555
General Practice in Salem, IL

Active since October 05, 2006
1275 HAWTHORN RD, SALEM, IL 62881(618) 548-4545(618) 548-4577 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Luecha Rutngamlug Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUECHA RUTNGAMLUG MD (NPI 1174619555) is an individual general practice provider in Salem, Illinois, licensed in Illinois (036051046) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174619555
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. LUECHA RUTNGAMLUGCredential: MD
Location Address1275 HAWTHORN RDSalem, IL 62881-1028
Mailing Address1275 Hawthorn RdSalem, IL 62881-1028 · (618) 548-4545 · Fax (618) 548-4577
Fax(618) 548-4577
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateNovember 18, 2011
NPI 1174619555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IL · 036051046
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1275 HAWTHORN RD, Salem, IL 62881

Other Identifiers 3

Medicaid036051046IL
Medicare UPINB91049IL
Medicare ID-Type UnspecifiedK24896IL

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1275 HAWTHORN RD
SALEM, IL 62881
Nurse Practitioner (Pediatrics)
1275 HAWTHORN RD
SALEM, IL 62881
Nurse Practitioner
1275 HAWTHORN RD
SALEM, IL 62881
Clinical Nurse Specialist (Psychiatric/Mental Health)
1275 HAWTHORN RD
SALEM, IL 62881
Nurse Practitioner (Pediatrics)
1275 HAWTHORN RD
SALEM, IL 62881
Clinic/Center (Federally Qualified Health Center (FQHC))
1275 HAWTHORN RD
SALEM, IL 62881
Nurse Practitioner (Women's Health)
1275 HAWTHORN RD
SALEM, IL 62881
Nurse Practitioner (Family)
1275 HAWTHORN RD
SALEM, IL 62881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luecha Rutngamlug's NPI number?

The NPI number for Luecha Rutngamlug is 1174619555. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Luecha Rutngamlug located?

Luecha Rutngamlug practices at 1275 Hawthorn Rd, Salem, IL 62881. The listed phone number is (618) 548-4545.

What is Luecha Rutngamlug's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Luecha Rutngamlug was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.