Provider Demographics
NPI:1922037787
Name:LOWE, MICHAEL PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:PATRICK
Last Name:LOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6700 W 95TH ST
Mailing Address - Street 2:SUITE 330
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2199
Mailing Address - Country:US
Mailing Address - Phone:708-422-3242
Mailing Address - Fax:708-422-3243
Practice Address - Street 1:6700 W 95TH ST
Practice Address - Street 2:SUITE 330
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2199
Practice Address - Country:US
Practice Address - Phone:708-422-3242
Practice Address - Fax:708-422-3243
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2020-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE4463207VX0201X
MS19012207VX0201X
TN39767207VX0201X
IL036117835207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology