Individual
DR. KASTYTIS ALEXANDER JUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3235 W 111TH ST, CHICAGO, IL 60655-2730
(773) 233-0744
(773) 233-9416
Mailing address
3235 W 111TH ST, CHICAGO, IL 60655-2730
(773) 233-0744
(773) 233-9416
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-044413
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21609421
PROVIDER #
IL
Enumeration date
07/28/2005
Last updated
07/08/2007
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