Most Relevant Information
Provider Data
| NPI Number: | 1003546953 |
| Provider Name: | MAURICE LUCRE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070026599 |
Most Important Dates
| Enumeration Date: | 06/14/2022 |
| Last Updated: | 06/14/2022 |
Provider Practice Location
7238 N HARLEM AVE
CHICAGO
IL
606314335
Practice Location Phone/Fax
| Phone: | 3122253119 |
| Fax: |
Provider Mailing Location
412 W 31ST ST
CHICAGO
IL
606163116
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |