Lysak, Nicholas Stuart

Lysak, Nicholas Stuart is an individual health care provider with primary practice located at 3000 N Halsted St Ste 509 , Chicago IL 60657-5194. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Lysak, Nicholas Stuart can be contacted via phone (773) 296-3390.

Contact Information

Primary practice address
3000 N Halsted St Ste 509 Chicago IL 60657-5194
Phone: (773) 296-3390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036-156555 Illinois

Profile Details

NPI number 1477972297
LBN Legal business name Lysak, Nicholas Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2014
Last updated Sep 11th, 2023 - 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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