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NPI Code Detail

MEDICARE: EUGENIA J ILO DO

MEDICARE: EUGENIA J ILO DO
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 Physician34005953OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8IL0823155OTHEROHMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
102985OTHEROHPHC
204-03918OTHEROHUHC
32091041OTHEROHAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5110231605OTHEROHRRMC
6000000566299OTHERANTHEM
7110176070OTHERRRMC
9000000211830OTHEROHANTHEM
104558818OTHERAETNA

General Provider Information

NPI Number : 1528051455
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENIA J ILO DO
Provider Business Mailing Address
First Line : 4640 W ALEXIS RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-1182
Country : US
Telephone Number : 419-843-8150
Fax Number : 419-479-2579
Provider Business Practice Location Address
First Line : 4640 W ALEXIS RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-1182
Country : US
Telephone Number : 419-843-8150
Fax Number : 419-479-2579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 05/01/2012

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Directions to “ EUGENIA J ILO DO” Practice Location

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