Individual
DR. JAIRUS JAMES LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2359 HASSELL RD, HOFFMAN ESTATES, IL 60169-2102
(847) 843-7030
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-2315
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.148172
IL
390200000X
Student in an Organized Health Care Education/Training Program
125068300
IL
Other
Enumeration date
05/12/2016
Last updated
08/28/2019
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