Lusancarez, Jose Antonio
Lusancarez, Jose Antonio is an individual health care provider with primary practice located at 850 W Irving Park Rd , Chicago IL 60613-3077. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lusancarez, Jose Antonio can be contacted via phone (773) 525-6780.Contact Information
Primary practice address
850 W Irving Park Rd
Chicago IL 60613-3077
Phone: (773) 525-6780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ACN485 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN485 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TEM-COV19-20639 | Illinois |
Profile Details
| NPI number | 1609180249 |
|---|---|
| LBN Legal business name | Lusancarez, Jose Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Feb 22nd, 2024 - about 2 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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