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
Fax: (630) 978-1341
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043255672 NPPES
Illinois MEDICAID 036107913

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