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Contact Information

JUSTYN LUTFY, MD CM, FRCS(C)
747 N RUTLEDGE ST
SPRINGFIELD, IL62702-6700
 Phone: 217-545-6112
 Fax: 217-545-2588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUSTYN LUTFY · (Male)

NPI # 1629452073
Status Active
Credentials MD CM, FRCS(C)
Entity Individual
Enumeration date 07/15/2015
Last updated 07/15/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.066416
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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