Orta, Luciano

Orta, Luciano is an individual health care provider with primary practice located at 4201 W Medical Center Dr , Mchenry IL 60050-8409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Orta, Luciano can be contacted via phone (815) 759-3100.

Contact Information

Primary practice address
4201 W Medical Center Dr Mchenry IL 60050-8409
Phone: (815) 759-3100
Fax: (815) 363-9094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 47498-20 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036084476 Illinois

Profile Details

NPI number 1346353505
LBN Legal business name Orta, Luciano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated May 3rd, 2021 - about 3 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 1346353505 NPPES
Wisconsin MEDICAID 1346353505
Wisconsin Other ORTALUC
Wisconsin MEDICAID 036084476 2

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