IndividualActive
Annette Luo, M.D.
NPI 1629658455 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1629658455
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 125.079278 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1969 W Ogden Ave
Chicago, IL 60612-3765
Phone: (518) 262-3125
Approximate (ZIP-level) locationGet directions
Mailing address
1950 W Polk St Ste 5210
Chicago, IL 60612-3723
Registry dates
- Enumerated
- 2021-04-14
- Last updated
- 2025-02-21
- Certified
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.