Lukose, Liya
Lukose, Liya is an sole proprietor health care provider with primary practice located at 199 W Rand Rd , Mount Prospect IL 60056-1151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lukose, Liya can be contacted via phone (847) 618-2440.Contact Information
Primary practice address
199 W Rand Rd
Mount Prospect IL 60056-1151
Phone: (847) 618-2440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085007334 | Illinois |
Profile Details
| NPI number | 1629609706 |
|---|---|
| LBN Legal business name | Lukose, Liya |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2020 |
| Last updated | May 5th, 2021 - about 4 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 | 1629609706 | NPPES |
| Illinois | Other | 085007334 | IL PA LICENSE NUMBER |
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