Individual
DR. PETER A LIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
363 W ERIE ST # 350, CHICAGO, IL 60654-6903
(312) 995-1955
(312) 995-1956
Mailing address
363 W ERIE ST # 350, CHICAGO, IL 60654-6903
(312) 995-1955
(312) 995-1956
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036120840
IL
207N00000X
Dermatology Physician
222029
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101700
—
MA
Enumeration date
07/07/2006
Last updated
12/06/2021
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