Individual
DR. GINA S. LOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 S WOOD ST, M/C 856, CHICAGO, IL 60612-4325
(312) 996-6711
(312) 413-1526
Mailing address
840 S WOOD ST, M/C 856, CHICAGO, IL 60612-4325
(312) 996-6711
(312) 413-1526
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036113137
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113137
—
IL
Enumeration date
05/15/2006
Last updated
09/09/2011
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