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Shelly Lo, MD
Hematology & Oncology Physician in Maywood, Illinois
NPI 1013994086

Shelly Lo is a Hematology & Oncology Physician based in Maywood, IL and is specialized in Hematology & Oncology. Shelly Lo practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Shelly Lo is 1013994086 and holds a License No. 36111532 (Illinois).

The current practice location address for Shelly Lo is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-3304 and via fax at 708-216-1259.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013994086
Provider Name
Shelly Lo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
708-216-3304
Fax Number
708-216-1259
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36111532 05 IL
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-3304
Fax Number
708-216-1259
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-3304
Fax Number
708-216-1259
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
36111532 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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