Individual provider · Type 1 NPI

Thely Joana Loro, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1265323968 Active

Practice location

645 S Central Ave
Chicago, IL 60644-5059

Call (773) 626-4300 Map

Mailing address

115 Salado Ct Apt 302
Schaumburg, IL 60195-3679

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125.086824 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265323968

Thely Joana Loro, MD's National Provider Identifier is 1265323968, issued on Jul 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Jul 10, 2025.