Individual
KRISTIN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 596-5177
(708) 596-5518
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036151537
IL
208000000X
Pediatrics Physician
125.068797
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036151537
—
IL
Enumeration date
03/28/2016
Last updated
07/16/2025
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