Luecking, Jane F

Luecking, Jane F is an individual health care provider with primary practice located at 1790 Nations Dr Suite 106, Gurnee IL 60031-9164. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Luecking, Jane F can be contacted via phone (847) 244-9740.

Contact Information

Primary practice address
1790 Nations Dr Suite 106 Gurnee IL 60031-9164
Phone: (847) 244-9740
Fax: (847) 244-9870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036090215 Illinois

Profile Details

NPI number 1407848617
LBN Legal business name Luecking, Jane F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Sep 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407848617 NPPES
Illinois Other R02237 MEDICARE PTAN
Illinois MEDICAID 036090215 MEDICARE PTAN
Illinois MEDICAID 35307300 MEDICARE PTAN

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