DR. KEVIN LUE (NPI# 1043255672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043255672 |
| Entity Type | Individual |
| Full Name | DR. KEVIN LUE |
| Credential | M.D. |
| Practice Address |
2380 S Eola Rd Suite 102 Aurora IL 60503-6489 |
| Mailing Address |
3925 75th St Ste 105 Aurora IL 60504-7962 |
| Practice Telephone | 6309787337 |
| Practice Fax Number | 6309781341 |
| Mailing Telephone | 6309787337 |
| Mailing Fax Number | 6309781341 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036-107913 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036107913 | 05 |
| Street Address |
2380 S EOLA RD SUITE 102 |
| City | AURORA |
| State | IL |
| Zip Code | 60503-6489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902215346 | Kathleen Burman | Massage Therapist | 2380 S Eola Rd, Aurora, IL 60503-6401 | 2014-08-11 |
| 1659780021 | Teresa L. Nash | Massage Therapist | 2380 S Eola Rd, Suite 104, Aurora, IL 60503-6401 | 2014-08-10 |
| 1275675704 | T&g Wheatley Enterprises Ltd | Chiropractor | 2380 S Eola Rd, Suite 104, Aurora, IL 60503-6489 | 2007-02-12 |
| 1114085925 | Thomas Lawrence Wheatley | Chiropractor | 2380 S Eola Rd, Suite 104, Aurora, IL 60503-6489 | 2006-12-05 |
| 1609957018 | 123 Pediatrics, S.c. | Pediatrics | 2380 S Eola Rd, Suite 102, Aurora, IL 60503-6489 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033658224 | Amy Gierden | Nurse's Aide | 1674 Fredericksburg Lane, Aurora, IL 60503 | 2017-02-21 |
| 1063761104 | Melissa Lynn Pugh | Physical Therapist | 2340 S Eola Rd, Aurora, IL 60503 | 2012-09-05 |
| 1477968154 | Charlyne Gauthier | Speech-Language Pathologist | 2236 Wilson Creek Cir, Aurora, IL 60503-3607 | 2014-06-21 |
| 1366879330 | Harold Lisandro Mendoza Moreno | Physician Assistant | 2381 Lundquist Dr, Aurora, IL 60503-3635 | 2013-10-04 |
| 1821303892 | Matilda A. Harding | Clinical Medical Laboratory | 1956 Indian Hill Ln, Aurora, IL 60503-3638 | 2010-08-13 |
| 1699007062 | Thomas Meda Daguinsin IIi | Occupational Therapist | 2912 Lundquist Dr, Aurora, IL 60503-3656 | 2010-02-09 |
| 1992070536 | Jennifer Waters | Dietitian, Registered | 1638 Fredericksburg Ln, Aurora, IL 60503-3674 | 2012-03-15 |
| 1639597446 | Todd Huenecke | Psychologist | 2135 Colonial St, Aurora, IL 60503-4611 | 2014-03-31 |
| 1386113884 | Meghan E Harazin | Developmental Therapist | 2721 Cavalcade Ct, Aurora, IL 60503-4616 | 2018-11-14 |
| 1861727422 | Adrienne Lea Romack | Developmental Therapist | 2700 Cavalcade Ct, Aurora, IL 60503-4617 | 2009-10-14 |
| Find all providers in zip 60503 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316426026 | University Physicians Incorporated | Pediatrics | 13123 E 16th Ave Fl 1, Aurora, CO 80045-7106 | 2018-08-13 |
| 1811492978 | Rocky Mountain Youth Medical and Nursing Consultants, Inc | Pediatrics | 1420 Laredo St, Aurora, CO 80011-5808 | 2018-03-29 |
| 1407387418 | Laura Ann Wang | Pediatrics | 13123 E 16th Ave # B518, Aurora, CO 80045-7106 | 2017-03-22 |
| 1467815696 | Annemarie Wolfe | Pediatrics | 13123 E 16th Ave # B-395, Aurora, CO 80045-7106 | 2016-04-04 |
| 1336536416 | Nicolle Fernandez Dyess | Pediatrics | 13121 E. 17th Ave, Neonatology Ms 8402, Aurora, CO 80045 | 2015-04-16 |
| 1952714354 | Sarah Rachel Green | Pediatrics | 13123 E 16th Ave # 25, Aurora, CO 80045-7106 | 2014-06-04 |
| 1063772929 | Eliza Davis Blanchette | Pediatrics | 13123 E 16th Ave # 328, Aurora, CO 80045-7106 | 2012-05-24 |
| 1205192903 | Olivia Lund Hoffman | Pediatrics | 13123 East 16th Avenue, Box 158, Aurora, CO 80045 | 2012-04-06 |
| 1134414964 | Abigail Suzanne Angulo | Pediatrics | 13123 E 16th Ave # 140, Aurora, CO 80045-7106 | 2011-06-09 |
| 1922397629 | Kathryn M Ginder | Pediatrics | 15101 E Iliff Ave Ste 140, Aurora, CO 80014-4548 | 2011-04-04 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.