Lotts, Wendy Jane
Lotts, Wendy Jane is an individual health care provider with primary practice located at 15 Tower Ct Suite 100, Gurnee IL 60031-3336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lotts, Wendy Jane can be contacted via phone (847) 244-1375.Contact Information
Primary practice address
15 Tower Ct Suite 100
Gurnee IL 60031-3336
Phone: (847) 244-1375
Fax: (847) 244-1002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036085957 | Illinois |
Profile Details
| NPI number | 1053305128 |
|---|---|
| LBN Legal business name | Lotts, Wendy Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Nov 30th, 2021 - about 5 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 | 1053305128 | NPPES |
| Illinois | MEDICAID | 036035957 |
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