Jucas, Kastytis Alexander

Jucas, Kastytis Alexander is an individual health care provider with primary practice located at 3235 W 111Th St , Chicago IL 60655-2730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Jucas, Kastytis Alexander can be contacted via phone (773) 233-0744.

Contact Information

Primary practice address
3235 W 111Th St Chicago IL 60655-2730
Phone: (773) 233-0744
Fax: (773) 233-9416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-044413 Illinois

Profile Details

NPI number 1609876952
LBN Legal business name Jucas, Kastytis Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 19 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 1609876952 NPPES
Illinois Other 21609421 PROVIDER #

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