Kazaniwskyj, Lubomyra M

Kazaniwskyj, Lubomyra M is an individual health care provider with primary practice located at 15505 E 127Th St Ste 100 , Lemont IL 60439-4433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kazaniwskyj, Lubomyra M can be contacted via phone (630) 257-5400.

Contact Information

Primary practice address
15505 E 127Th St Ste 100 Lemont IL 60439-4433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036069175 Illinois

Profile Details

NPI number 1376520296
LBN Legal business name Kazaniwskyj, Lubomyra M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 21st, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376520296 NPPES
Illinois MEDICAID 036069175

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