Individual
KORINNE MAE LUSTERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(224) 654-0100
(224) 654-0105
Mailing address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(224) 654-0100
(224) 654-0105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009398
IL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/18/2013
Last updated
02/13/2023
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