Individual
MONIKA M LUSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 774-8000
Mailing address
1000 REMINGTON BLVD, SUITE 100, BOLINGBROOK, IL 60440-5114
(630) 914-2714
(630) 914-2469
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036134863
IL
Other
Enumeration date
04/04/2011
Last updated
06/16/2015
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