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NPI Code Detail

MEDICARE: LDE CONCIERGE SOLUTIONS LLC

MEDICARE: LDE CONCIERGE SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1467303941
Entity Type Code : Organization
Provider Name (Legal Business Name) : LDE CONCIERGE SOLUTIONS LLC
Provider Business Mailing Address
First Line : 10735 S WESTERN AVE STE 6249
Second Line :
City : CHICAGO
State : IL
Zip : 60643-3155
Country : US
Telephone Number : 312-806-8702
Fax Number :
Provider Business Practice Location Address
First Line : 6139 S WASHTENAW AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60629-1635
Country : US
Telephone Number : 312-806-8702
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : LUCHERIA C GREEN
Credential : CPT
Telephone Number : 312-807-8702
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “LDE CONCIERGE SOLUTIONS LLC ” Practice Location

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