Provider Demographics
NPI:1396954269
Name:LUKAS, RIMAS VINCAS (MD)
Entity type:Individual
Prefix:DR
First Name:RIMAS
Middle Name:VINCAS
Last Name:LUKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1018 E 52ND ST
Mailing Address - Street 2:UNIT #3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-3823
Mailing Address - Country:US
Mailing Address - Phone:773-562-7637
Mailing Address - Fax:
Practice Address - Street 1:675 N SAINT CLAIR ST STE 20-100
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5970
Practice Address - Country:US
Practice Address - Phone:312-695-4360
Practice Address - Fax:312-695-1435
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361158522084N0400X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology