Individual
CHARLES H LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 S MICHIGAN AVE, STE 1316, CHICAGO, IL 60603
(872) 444-2473
Mailing address
8 S MICHIGAN AVE STE 1316, CHICAGO, IL 60603-3381
(872) 444-2473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-57432
IL
207R00000X
Internal Medicine Physician
Primary
03657432
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331604255
BCBS
IL
Enumeration date
11/15/2006
Last updated
05/25/2023
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