Individual
JOANNA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6345 W 79TH ST, BURBANK, IL 60459-1133
(312) 609-0300
(708) 684-3070
Mailing address
6345 W 79TH ST, BURBANK, IL 60459-1133
(312) 609-0300
(708) 684-3070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036129642
IL
207Q00000X
Family Medicine Physician
27110
OK
Other
Enumeration date
08/17/2009
Last updated
12/16/2021
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