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NPI Code Detail

MEDICARE: OLGA LUGO-TORRES MD

MEDICARE: OLGA LUGO-TORRES MD
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
1207R00000XInternal Medicine PhysicianIL

General Provider Information

NPI Number : 1255479952
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA LUGO-TORRES MD
Provider Business Mailing Address
First Line : 630 N STATE ST APT 1905
Second Line :
City : CHICAGO
State : IL
Zip : 60610-3954
Country : US
Telephone Number : 312-744-1298
Fax Number : 312-744-1308
Provider Business Practice Location Address
First Line : 845 W WILSON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5704
Country : US
Telephone Number : 312-744-1935
Fax Number : 312-744-1308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/08/2007

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Directions to “ OLGA LUGO-TORRES MD” Practice Location

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