Individual
DONALD R LURYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
172 SCHILLER, ELMHURST, IL 60126-2885
(331) 221-9053
(630) 758-9940
Mailing address
172 SCHILLER, ELMHURST, IL 60126-2885
(331) 221-9053
(630) 758-9940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036121701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201562
ANTHEM
IN
05
—
200345930
—
IN
01
—
64040744
KY MEDICAID
KY
Enumeration date
11/29/2006
Last updated
11/06/2014
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