Individual
MICHAEL LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-5869
(708) 923-5859
Mailing address
12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 923-5869
(708) 923-5859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068965
IL
208M00000X
Hospitalist Physician
Primary
036152062
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036152062
—
IL
Enumeration date
03/28/2016
Last updated
11/29/2021
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