STACEY GAIL LUCTERHAND MAT
NPI 1295384337
Specialist/Technologist, Other in Highland Park, IL

Active since September 11, 2019
133 RIDGE RD, HIGHLAND PARK, IL 60035(847) 962-9326 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Gail Lucterhand Mat NPPES

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

STACEY GAIL LUCTERHAND MAT (NPI 1295384337) is an individual specialist/technologist, other provider in Highland Park, Illinois, licensed in Illinois (863533) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1295384337
Entity TypeIndividualFemale
Primary Taxonomy246Z00000X
Provider Legal NameSTACEY GAIL LUCTERHANDCredential: MAT
Location Address133 RIDGE RDHighland Park, IL 60035-4338
Mailing Address133 Ridge RdHighland Park, IL 60035-4338 · (847) 962-9326
Sole ProprietorYes
Enumeration DateSeptember 11, 2019
NPI 1295384337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
License Licensed in IL · 863533
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
133 RIDGE RD, Highland Park, IL 60035

Other Names 1

Former Name (1)Stacey Gail Eisenberg Mat

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 Stacey Lucterhand's NPI number?

The NPI number for Stacey Lucterhand is 1295384337. It was assigned to this individual provider in the NPPES registry on September 11, 2019. The provider is also known as Stacey Gail Eisenberg Mat.

Where is Stacey Lucterhand located?

Stacey Lucterhand practices at 133 Ridge Rd, Highland Park, IL 60035. The listed phone number is (847) 962-9326.

What is Stacey Lucterhand's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Stacey Lucterhand was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.