Lucas, Joelle M

Lucas, Joelle M is an individual health care provider with primary practice located at 806 Laraway Rd # 808 , New Lenox IL 60451-2694. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lucas, Joelle M can be contacted via phone (815) 462-8416.

Contact Information

Primary practice address
806 Laraway Rd # 808 New Lenox IL 60451-2694
Phone: (815) 462-8416
Fax: (815) 462-8425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070015730 Illinois

Profile Details

NPI number 1780885749
LBN Legal business name Lucas, Joelle M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Aug 22nd, 2011 - about 13 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 1780885749 NPPES
Illinois Other P00943114 MEDICARE RAILROAD

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