Provider Demographics
NPI:1851558001
Name:ROMANTSEVA, LUBOV (MD)
Entity Type:Individual
Prefix:
First Name:LUBOV
Middle Name:
Last Name:ROMANTSEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 W HARRISON ST STE 718
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS, SECTION OF CHILD NEUROLOGY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3863
Mailing Address - Country:US
Mailing Address - Phone:312-942-3034
Mailing Address - Fax:312-942-4168
Practice Address - Street 1:1725 W HARRISON ST STE 718
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS, SECTION OF CHILD NEUROLOGY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3863
Practice Address - Country:US
Practice Address - Phone:312-942-3034
Practice Address - Fax:312-942-4168
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-1170882084N0600X
IL0361170882084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology