Individual provider · Type 1 NPI
Anne B. Luckose, APN, NP-C
Adult Health Nurse Practitioner · Chicago, IL
NPI number
1609015510
Active
Practice location
1052 W. Loyola Avenue
Chicago, IL 60626
Fax (773) 508-2242
Mailing address
1052 W Loyola Ave
Chicago, IL 60626-5206
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 041340115 (IL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1609015510
Anne B. Luckose, APN, NP-C's National Provider Identifier is 1609015510, issued on Feb 17, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chicago, IL. The record was last updated on Jan 18, 2013.