Lucero, Jacob Stuart Joseph

Lucero, Jacob Stuart Joseph is an individual health care provider with primary practice located at 2450 Buckley Rd , North Chicago IL 60064-3092. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Lucero, Jacob Stuart Joseph can be contacted via phone (847) 688-1900.

Contact Information

Primary practice address
2450 Buckley Rd North Chicago IL 60064-3092
Phone: (847) 688-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 590484

Profile Details

NPI number 1477129922
LBN Legal business name Lucero, Jacob Stuart Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Jun 3rd, 2021 - about 4 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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