Lo, Shelly

Lo, Shelly is an individual health care provider with primary practice located at 2160 S 1St Ave Luh - North Ent., Rm. 7604, Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Lo, Shelly can be contacted via phone (708) 216-3304.

Contact Information

Primary practice address
2160 S 1St Ave Luh - North Ent., Rm. 7604 Maywood IL 60153-3328
Fax: (708) 216-1259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 36111532 Illinois

Profile Details

NPI number 1013994086
LBN Legal business name Lo, Shelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Feb 1st, 2022 - about 2 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 1013994086 NPPES
Illinois MEDICAID 36111532

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