| James Lo M.d., Mary Lo M.d. S.c. | |
|
1140 W Lake St Suite 402 Oak Park IL 60301-1049 | |
| (708) 848-0330 | |
| Not Available |
| Full Name | James Lo M.d., Mary Lo M.d. S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1140 W Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Charles H Lo (PRESIDENT) |
| Authorized Official Contact | 7088480330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Lo M.d., Mary Lo M.d. S.c. 1140 W Lake St Suite 402 Oak Park IL 60301-1049 Ph: (708) 848-0330 | James Lo M.d., Mary Lo M.d. S.c. 1140 W Lake St Suite 402 Oak Park IL 60301-1049 Ph: (708) 848-0330 |
| NPI Number | 1003090077 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Medicare PECOS PAC ID | 9234208398 |
|---|---|
| Medicare Enrollment ID | O20080515000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003090077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Charles H Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578635173 PECOS PAC ID: 3971672031 Enrollment ID: I20080515000658 |
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