Individual
ANNETTE LUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(518) 262-3125
Mailing address
1950 W POLK ST STE 5210, CHICAGO, IL 60612-3723
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.079278
IL
208D00000X
General Practice Physician
Primary
036.171169
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2021
Last updated
02/21/2025
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