Lo, Adolf M

Lo, Adolf M is an sole proprietor health care provider with primary practice located at 208 E Springfield Ave , Champaign IL 61820-5462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lo, Adolf M can be contacted via phone (217) 352-2212.

Contact Information

Primary practice address
208 E Springfield Ave Champaign IL 61820-5462
Phone: (217) 352-2212
Fax: (217) 352-2215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X Illinois

Profile Details

NPI number 1336277557
LBN Legal business name Lo, Adolf M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336277557 NPPES
Illinois Other 1000280 BLUE SHIELD

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