Provider Demographics
NPI:1801857545
Name:LUCAS, JAMES B II (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:LUCAS
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:1855 W TAYLOR ST
Mailing Address - Street 2:MC 648 ROOM 2.42
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-7242
Mailing Address - Country:US
Mailing Address - Phone:312-996-6584
Mailing Address - Fax:312-996-1282
Practice Address - Street 1:1855 W TAYLOR ST
Practice Address - Street 2:MC 648 ROOM 2.42
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7242
Practice Address - Country:US
Practice Address - Phone:312-996-6584
Practice Address - Fax:312-996-1282
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2009-04-20
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Provider Licenses
StateLicense IDTaxonomies
LA024011207YX0905X
IL036.122377207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery