Lucas, Kristin

Lucas, Kristin is an individual health care provider with primary practice located at 31 W 155Th St , Harvey IL 60426-3556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lucas, Kristin can be contacted via phone (708) 596-5177.

Contact Information

Primary practice address
31 W 155Th St Harvey IL 60426-3556
Phone: (708) 596-5177
Fax: (708) 596-5518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.068797 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036151537 Illinois

Profile Details

NPI number 1073975181
LBN Legal business name Lucas, Kristin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2016
Last updated Jul 18th, 2024 - about 5 months 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 1073975181 NPPES
Illinois MEDICAID 036151537

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