Lusancarez, Jose Antonio

Lusancarez, Jose Antonio is an individual health care provider with primary practice located at 850 W Irving Park Rd , Chicago IL 60613-3077. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lusancarez, Jose Antonio can be contacted via phone (773) 525-6780.

Contact Information

Primary practice address
850 W Irving Park Rd Chicago IL 60613-3077
Phone: (773) 525-6780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X ACN485 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN485 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TEM-COV19-20639 Illinois

Profile Details

NPI number 1609180249
LBN Legal business name Lusancarez, Jose Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2010
Last updated Feb 22nd, 2024 - about last year

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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