MEDICARE: TIMOTHY LO LCSW PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1114866704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMOTHY LO LCSW PLLC

Provider Business Mailing Address
First Line	:	1914 SPRINGSIDE DR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-2242
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1914 SPRINGSIDE DR
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-2242
Country	:	US
Telephone Number	:	847-859-9201
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIMOTHY LO
Credential	:	LCSW
Telephone Number	:	847-859-9201

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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