Individual
KEVIN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 MCHENRY RD STE 221, BUFFALO GROVE, IL 60089-1384
(847) 955-9444
Mailing address
1401 MCHENRY RD STE 221, BUFFALO GROVE, IL 60089-1384
(847) 955-9444
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.001470
IL
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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