Laura Luc-Gorby is a Gerontology in Hines, Illinois. Laura Luc-Gorby practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Laura Luc-Gorby is 1215122734. The last update date is 2014-08-14.
Laura Luc-Gorby's current location address is 5000 S 5th Ave, Hines, Illinois. You can contact this provider via phone number 7082022408. The mailing address for Laura Luc-Gorby is 5000 S 5th Ave, Hines, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Luc-Gorby |
|---|---|
| Address | 5000 S 5th Ave, Hines, Illinois |
| Phone Number | 7082022408 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | A.P.N. |
NPI Number Detail
| NPI Number | 1215122734 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2014-08-14 |
Provider Mailing Address Detail
| Address | 5000 S 5th Ave |
|---|---|
| City | Hines |
| State | Illinois (IL) |
| Post Code | 601413030 |
| Phone Number | 7082022408 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 364Sg0600X |
| Licence No | 209000559 |
|
Definition: An advanced practice registered nurse with expertise in care of older adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41253113 | IL | STATE LICENSE | |
| 209000559 | IL | STATE LICENSE |
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What is the unique 10-digit identifier code assigned to Laura Luc-Gorby by the Centers for Medicare & Medicaid Services?
The Laura Luc-Gorby has been issued the NPI (National Provider Identifier) 1215122734 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Laura Luc-Gorby is located?
The Laura Luc-Gorby is situated at the following address: 5000 S 5Th Ave, Hines, IL, 601413030.
What is Laura Luc-Gorby's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Laura Luc-Gorby is Gerontology, and the taxonomy classification code that categorizes this area of expertise is 364Sg0600X.
When was the Laura Luc-Gorby's 1215122734 issued?
The Laura Luc-Gorby's 1215122734 was issued on 2007-09-07.
When was the Laura Luc-Gorby's information last updated?
The Laura Luc-Gorby's information was last updated on 2014-08-14.
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