Lewicky, Lubow Olga
Lewicky, Lubow Olga is an individual health care provider with primary practice located at 375 N Wall St Suite P410, Kankakee IL 60901-3483. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lewicky, Lubow Olga can be contacted via phone (815) 932-7474.Contact Information
Primary practice address
375 N Wall St Suite P410
Kankakee IL 60901-3483
Phone: (815) 932-7474
Fax: (815) 937-8206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036095446 | Illinois |
Profile Details
| NPI number | 1124013685 |
|---|---|
| LBN Legal business name | Lewicky, Lubow Olga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Sep 28th, 2011 - about 15 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 | 1124013685 | NPPES |
| Illinois | MEDICAID | 036095446 |
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