Lue, Kevin
Lue, Kevin is an individual health care provider with primary practice located at 3925 75Th St Ste 105 , Aurora IL 60504-7962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lue, Kevin can be contacted via phone (630) 978-7337.Contact Information
Primary practice address
3925 75Th St Ste 105
Aurora IL 60504-7962
Phone: (630) 978-7337
Fax: (630) 978-1341
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-107913 | Illinois |
Profile Details
NPI number | 1043255672 |
---|---|
LBN Legal business name | Lue, Kevin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Oct 4th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043255672 | NPPES |
Illinois | MEDICAID | 036107913 |
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