Luc-Gorby, Laura

Luc-Gorby, Laura is an individual health care provider with primary practice located at 5000 S 5Th Ave Geriatrics And Extended Care Bldg 217, Hines IL 60141-3030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Luc-Gorby, Laura can be contacted via phone (708) 202-2408.

Contact Information

Primary practice address
5000 S 5Th Ave Geriatrics And Extended Care Bldg 217 Hines IL 60141-3030
Phone: (708) 202-2408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 209000559 Illinois

Profile Details

NPI number 1215122734
LBN Legal business name Luc-Gorby, Laura
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Aug 14th, 2014 - about 11 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 1215122734 NPPES
Illinois Other 041253113 STATE LICENSE
Illinois Other 209000559 STATE LICENSE

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