Individual
KATE LUSTBADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 W WALTON ST APT 1902, CHICAGO, IL 60610-7331
(847) 284-4112
Mailing address
9 W WALTON ST APT 1902, CHICAGO, IL 60610-7331
(847) 284-4112
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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