JESSICA LUO MD NPI 1255917712

NPI Information

NPI: 1255917712
Provider Name: JESSICA LUO, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153
Phone: (708) 327-3041
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Jessica Luo, MD is a plastic and reconstructive surgery surgery in Maywood, IL. The provider is a surgeon who specializes in plastic and reconstructive surgery. Jessica Luo, MD NPI is 1255917712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 327-3041

The enumeration date for this NPI number is 3/23/2021 and was last updated on 6/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	125078914	ILLINOIS	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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