Individual
DR. BENJAMIN G LUMICAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 E ONTARIO ST, SUITE 510, CHICAGO, IL 60611-3468
(312) 642-9858
(312) 642-9818
Mailing address
211 E ONTARIO ST, SUITE 510, CHICAGO, IL 60611-3468
(312) 642-9858
(312) 642-9818
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036042067
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042067
—
IL
Enumeration date
05/03/2006
Last updated
09/29/2010
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