Individual
LUCAS J WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40W330 LAFOX RD, SUITE A, ST CHARLES, IL 60175-6515
(630) 584-9850
Mailing address
40W330 LAFOX RD, SUITE A, ST CHARLES, IL 60175-6515
(630) 584-9850
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036127431
IL
207W00000X
Ophthalmology Physician
38964
IA
207W00000X
Ophthalmology Physician
R-8005
IA
Other
Enumeration date
07/10/2007
Last updated
09/27/2021
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