Healthcare Provider Details
I. General information
NPI: 1780871426
Provider Name (Legal Business Name): JOYCE K LO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/26/2007
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 S WASHINGTON ST
NAPERVILLE IL
60540-7430
US
IV. Provider business mailing address
2650 RIDGE AVE # 1223
EVANSTON IL
60201-1700
US
V. Phone/Fax
- Phone: 630-527-3288
- Fax: 630-527-7632
- Phone: 847-982-3175
- Fax: 847-982-3394
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 036117186 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: