Jucas, Kastytis Alexander
Jucas, Kastytis Alexander is an individual health care provider with primary practice located at 3235 W 111Th St , Chicago IL 60655-2730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Jucas, Kastytis Alexander can be contacted via phone (773) 233-0744.Contact Information
Primary practice address
3235 W 111Th St
Chicago IL 60655-2730
Phone: (773) 233-0744
Fax: (773) 233-9416
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036-044413 | Illinois |
Profile Details
NPI number | 1609876952 |
---|---|
LBN Legal business name | Jucas, Kastytis Alexander |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 28th, 2005 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609876952 | NPPES |
Illinois | Other | 21609421 | PROVIDER # |
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