Luchristt, Douglas
Luchristt, Douglas is an individual health care provider with primary practice located at 676 N Saint Clair St Ste 950 , Chicago IL 60611-2955. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Luchristt, Douglas can be contacted via phone (312) 694-7337.Contact Information
Primary practice address
676 N Saint Clair St Ste 950
Chicago IL 60611-2955
Phone: (312) 694-7337
Fax: (312) 926-9116
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 125.069198 | Illinois |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 036166186 | Illinois |
Profile Details
NPI number | 1629468244 |
---|---|
LBN Legal business name | Luchristt, Douglas |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2015 |
Last updated | Sep 14th, 2023 - about 2 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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