Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477129922 Individual Practitioner Male Practitioner

Jacob Stuart Joseph Lucero

Radiologic Technologist • North Chicago, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jacob Lucero is a registered healthcare professional specializing in Radiologic Technologist in North Chicago, IL. Official NPI practice address is registered at 2450 BUCKLEY RD.

Practice Location & Contact Primary Location

Practice Address

2450 Buckley Rd

North Chicago, IL 600643092

Telephone 8476881900
Associated Practice Facility / Clinic
🏢 Va Medical Center Facility NPI 1255521258

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist in North Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in North Chicago, IL (17 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-03
Radiologic Technologist Primary Specialty

NUCC Taxonomy Code: 247100000X

State License None 590484

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Secondary Practice Locations

7400 Merton Minter St

San Antonio, TX 782294404

Phone: 2106175300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Gagandeep Grover , MD

Internal Medicine

NPI 1003336660

Doctor of Medicine (M.D.)

Dr. Neelpreet Toor , DO

Psychiatry & Neurology - Psychiatry

NPI 1003436981

Doctor of Osteopathic Medicine (D.O.)

Brandon Fleres

Psychiatry & Neurology - Psychiatry

NPI 1003518739
Semyon Shulman

Psychiatry & Neurology - Neurology

NPI 1003820333
Dr. Tetz Lee , MD, PhD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1013612654

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.), Master of Public Health

NPI 1023307568

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2021

Registered at 2450 BUCKLEY RD, NORTH CHICAGO, IL 600643092 (Tel: 8476881900)

📍
Updated Business Mailing Address June 03, 2021

Registered at 855 SANCTUARY DR APT 303A, LAKE VILLA, IL 600467988 (Tel: 7192713871)

👤
Provider Name / Credentials Updated June 03, 2021

Recorded as JACOB LUCERO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2021

Radiologic Technologist (License #590484 in None)

🟢
Initial NPI Registration & Enumeration June 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477129922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2021
Last Update: June 03, 2021
Sole Proprietor: No

Mailing Address

855 Sanctuary Dr Apt 303a

Lake Villa, IL 600467988

Phone: 7192713871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.