Individual
LUBNA L PIRACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10837 S CICERO AVE, OAK LAWN, IL 60453-6458
(708) 636-7575
Mailing address
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453-6459
(708) 636-7575
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036094153
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316998578
NPI GROUP PRACTICE
IL
01
—
1487951711
AMG/HAVI
IL
01
—
1616378
BCBS
IL
01
—
7404177
AETNA
IL
01
—
L97357
MEDICARE PIN-LOCALITY 16
IL
01
—
L97358
MEDICARE PIN-LOCALITY 15
IL
01
—
P00005623
RRMC-LOCALITY 16
IL
01
—
P00005624
RRMC-LOCALITY 15
IL
Enumeration date
05/28/2006
Last updated
12/18/2021
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