Lue, Wayne
Lue, Wayne is an individual health care provider with primary practice located at 9921 Southwest Hwy , Oak Lawn IL 60453-3767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lue, Wayne can be contacted via phone (708) 425-8616.Contact Information
Primary practice address
9921 Southwest Hwy
Oak Lawn IL 60453-3767
Phone: (708) 425-8616
Fax: (708) 425-9468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036100364 | Illinois |
Profile Details
| NPI number | 1922068428 |
|---|---|
| LBN Legal business name | Lue, Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Dec 31st, 2008 - about 17 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 | 1922068428 | NPPES |
| Illinois | MEDICAID | 036100364 |
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