Individual
EUGENIA J ILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4640 W ALEXIS RD, TOLEDO, OH 43623-1182
(419) 843-8150
(419) 479-2579
Mailing address
4640 W ALEXIS RD, TOLEDO, OH 43623-1182
(419) 843-8150
(419) 479-2579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34005953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211830
ANTHEM
OH
01
—
000000566299
ANTHEM
—
01
—
02985
PHC
OH
01
—
04-03918
UHC
OH
05
—
0995580
—
OH
01
—
110176070
RRMC
—
01
—
110231605
RRMC
OH
01
—
2091041
AETNA
OH
01
—
4558818
AETNA
—
01
—
IL0823155
MEDICARE
OH
Enumeration date
08/25/2005
Last updated
05/01/2012
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