Luces, Virginia P

Luces, Virginia P is an individual health care provider with primary practice located at 2050 Larkin Ave Suite 101, Elgin IL 60123-4405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Luces, Virginia P can be contacted via phone (847) 742-9698.

Contact Information

Primary practice address
2050 Larkin Ave Suite 101 Elgin IL 60123-4405
Phone: (847) 742-9698
Fax: (847) 742-9743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 336026758 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-062230 Illinois

Profile Details

NPI number 1366494585
LBN Legal business name Luces, Virginia P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 16th, 2013 - about 12 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 1366494585 NPPES
Wisconsin Other 1366494585 BCBSWI
Wisconsin MEDICAID 036062230 BCBSWI
Wisconsin Other LUCESVIR BCBSWI

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