Individual
CHIEH LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 E WASHINGTON ST STE 1310, CHICAGO, IL 60602-1863
(312) 986-9833
Mailing address
25 E WASHINGTON ST STE 1310, CHICAGO, IL 60602-1863
(312) 986-9833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022981
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070022981
PT LICENSE
IL
Enumeration date
02/24/2020
Last updated
02/29/2020
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