Individual
ANDREA YAN-SIN LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5839 S MARYLAND AVE, WP C-411 / MC 4062, CHICAGO, IL 60637-1463
(773) 702-6175
(773) 702-1192
Mailing address
5839 S MARYLAND AVE, WP C-411 / MC 4062, CHICAGO, IL 60637-1463
(773) 702-6175
(773) 702-1192
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
036.128924
IL
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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