person
Jacob Stuart Joseph Lucero
Radiologic Technologist in North Chicago, Illinois
NPI 1477129922

Jacob Stuart Joseph Lucero is a Radiologic Technologist based in Lake Villa, IL. Jacob Stuart Joseph Lucero practices in North Chicago, IL. The NPI Number for Jacob Stuart Joseph Lucero is 1477129922 and holds a License No. 590484 (Illinois).

The current practice location address for Jacob Stuart Joseph Lucero is 2450 Buckley Rd, North Chicago, IL and can be reached out via phone at 847-688-1900.

Location: 2450 Buckley Rd, North Chicago, IL, 60046-7988
person
Provider Profile Details
NPI Number
1477129922
Provider Name
Jacob Stuart Joseph Lucero
Credential
Provider Entity Type
Individual
Gender
Male
Address
2450 Buckley Rd, North Chicago, IL, 60046-7988
Phone Number
847-688-1900
Fax Number
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2450 Buckley Rd
City
State
Zip
60064-3092
Phone Number
847-688-1900
Fax Number
person
Provider Business Mailing Address Details
Address
2450 Buckley Rd
City
State
Zip
60064-3092
Phone Number
847-688-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
License No.
590484 ()
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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