SearchIllinoisSurgical Technologist

Kim Luster

NPI 1396870051 · on the registry since 2007 · sole proprietor

Practice

Address
2400 N Samson Way
Apt#2d
Waukegan, IL 60087
Phone
(122) 439-9931
Fax
(122) 494-4008
Organisation at this address
Surgiacl Assistingservices Of Lake County
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Surgical Technologist
246ZS0410X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois