SearchIllinois2086S0120X

Andrea Lo

NPI 1417226952 · on the registry since 2011

Practice

Address
5839 S Maryland Ave
Wp C-411 / Mc 4062
Chicago, IL 60637
Phone
(773) 702-6175
Fax
(773) 702-1192
Clinicians at this address
4

Registry record

Primary taxonomy
2086S0120X
2086S0120X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois