Lucas, Paul R

Lucas, Paul R is an sole proprietor health care provider with primary practice located at 800 Biesterfield Rd Ste 207 , Elk Grove Village IL 60007-3378. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Lucas, Paul R can be contacted via phone (847) 228-6543.

Contact Information

Primary practice address
800 Biesterfield Rd Ste 207 Elk Grove Village IL 60007-3378
Phone: (847) 228-6543
Fax: (847) 577-3587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004860 Illinois

Profile Details

NPI number 1497741508
LBN Legal business name Lucas, Paul R
Credentials DPM, FACFAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Nov 9th, 2018 - about 6 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 1497741508 NPPES
Idaho Other 01622468 BCBS OF IL
Idaho Other 480029560 BCBS OF IL
Idaho MEDICAID 016004860 BCBS OF IL
Idaho Other 0001623308 BCBS OF IL

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