Individual
HECTOR LUGO-COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 W HIGH ST, MORRIS, IL 60450-1463
(815) 942-2932
(815) 942-1873
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-9128
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
036142524
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01075814A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036142524
IL
2085R0202X
Diagnostic Radiology Physician
A107410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01075814A
MEDICAL LICENSE
IN
01
—
036142524
LICENSE
IL
05
—
201315820
—
IN
01
—
336104198
CDS
IL
01
—
A107410
MEDICAL LICENSE
CA
Enumeration date
07/20/2009
Last updated
08/24/2021
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