Individual
DR. ADOLF M LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 E SPRINGFIELD AVE, CHAMPAIGN, IL 61820-5462
(217) 352-2212
(217) 352-2215
Mailing address
208 E SPRINGFIELD AVE, CHAMPAIGN, IL 61820-5462
(217) 352-2212
(217) 352-2215
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000280
BLUE SHIELD
IL
Enumeration date
03/01/2007
Last updated
07/08/2007
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