CHARLES L LUCORE M.D. NPI 1821172198

NPI Information

NPI: 1821172198
Provider Name: CHARLES L LUCORE, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
619 E MASON ST
SUITE 4P57
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 788-0706
Get Directions

Charles L Lucore, M.D. is a cardiovascular disease internal medicine in Springfield, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Charles L Lucore, M.D. NPI is 1821172198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

619 E MASON ST
SUITE 4P57
SPRINGFIELD, IL
ZIP 62701-034
Phone: (217) 788-0706
Fax: (217) 525-2535

The enumeration date for this NPI number is 10/24/2006 and was last updated on 11/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		036-084425	ILLINOIS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	036084425	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E41331	MEDICARE UPIN	ILLINOIS
2	060017658	OTHER	ILLINOIS	RAILROAD
3	L66772	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
4	L92317	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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