Individual
LUMA SUKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8180
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.127489
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.127489
STATE LICENSE
IL
01
—
125055453
STATE LICENSE
IL
Enumeration date
07/08/2008
Last updated
12/01/2012
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