Individual
ANNA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3154 N CLARK ST, CHICAGO, IL 60657-4437
(773) 296-7580
Mailing address
2756 N PINE GROVE AVE APT 406, CHICAGO, IL 60614-6165
(513) 477-9384
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.025898
IL
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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