Organization
JAMES LO M.D., MARY LO M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H LO M.D. (PRESIDENT)
(708) 848-0330
Entity
Organization
Contact information
Practice address
1140 W LAKE ST, SUITE 402, OAK PARK, IL 60301-1049
(708) 848-0330
Mailing address
1140 W LAKE ST, SUITE 402, OAK PARK, IL 60301-1049
(708) 848-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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