Individual
BRYAN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 E 59TH ST, CHICAGO, IL 60637-2601
(773) 795-2863
Mailing address
860 E 59TH ST, CHICAGO, IL 60637-2601
(773) 795-2863
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1062931
IL
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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